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ALASKA PREMIER THERAPY

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1083870448

Organizational Registrant:
Organization Name:  ALASKA PREMIER THERAPY
Organization is not Subpart
Authorized Official:  CHRISTIE ANN CHERNOFF  SPEECH LANGUAGE PATHOLOGIST  907--51-20979

Location and contact information for practice:
204 E REZANOF DR LOWER #2 KODIAK, AK 99615-6379 US
Tel: 907-512-0979  Fax: --

Contact information for business:
PO BOX 226  KODIAK, AK 99615-0226 US
Tel: 907-512-0979  Fax: --

Registration Information:
NPI: 1083870448
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AK131

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SP16641AK05
SP16642AK05




HEALTH CARE JOBS AK - Page 1



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