| NPI | 1932856473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA J RUSSELL Manager 907-227-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |