Individual
MARIA REVELS RATHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14004 OLD GLENN HWY APT 19, EAGLE RIVER, AK 99577-9290
(954) 668-4174
Mailing address
14004 OLD GLENN HWY APT 19, EAGLE RIVER, AK 99577-9290
(954) 668-4174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4123114
AK
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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