| NPI | 1982727640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIN ROBERT ZUMBRUNNEN Owner 907-376-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK PT0016) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AK PT0011) | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand (Licence: AK OT1216) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2195) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 46) | |
| 235Z00000X Speech-Language Pathologist, | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK OT1216) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-11-20 |