Peninsula Pediatric Therapy, Inc.

NPI #1194152058 in Palmer, Alaska

Provider Information

NPI Number: 1194152058
Entity Type: Organization
Organization Name: Peninsula Pediatric Therapy, Inc.
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Oct 8, 2013
Last Updated: May 14, 2015

Practice Location

Address: 7335 PALMER WASILLA HWY
City: Palmer
State: Alaska
ZIP Code: 99645-6007
Phone: (907) 250-1151

Authorized Official

Name: MS. SHANI LAZELL DEAN, MS, CCC-SLP
Title: PRESIDENT
Phone: (907) 250-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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