| NPI | 1881730653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH E PAINE Practice Manager 907-563-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AK 909337) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 909337) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-10-14 |