| NPI | 1871822064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA ELLIOTT Owner 907-746-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK ot3407) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AK 2105) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |