Southeast Ot LLC

NPI #1518431329 in Haines, Alaska

Provider Information

NPI Number
1518431329
Entity Type
Organization
Organization Name
Southeast Ot LLC
Primary Specialty
Occupational Therapist
Enumeration Date
Jan 15, 2019
Last Updated
Mar 6, 2019

Practice Location

Address
206 PIEDAD ROAD
City
Haines
State
Alaska
ZIP Code
99827
Phone
(907) 314-0081

Authorized Official

Name
MR. RYAN JOHN SALMON, OTR/L
Title
OWNER/OCCUPATIONAL THERAPIST
Phone
(907) 314-0081

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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