| NPI | 1821731415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANIKA PALMER Speech Language Pathologist 907-978-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |