Tidal Bore Resource Center

NPI #1275152456 in Anchorage, Alaska

Provider Information

NPI Number
1275152456
Entity Type
Organization
Organization Name
Tidal Bore Resource Center
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 8, 2020
Last Updated
Apr 8, 2020

Practice Location

Address
14251 JARVI DR
State
Alaska
ZIP Code
99515-3945
Phone
(907) 782-8369

Authorized Official

Name
ALICIA WATSON
Title
FOUNDING BOARD MEMBER
Phone
(907) 782-8369

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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