| NPI | 1801167002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ANN JOHNSON Occupational Therapist 907-223-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 495) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 495) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-02-20 |