Organization
ALASKA SPEECH AND HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DESTINY RENAE RICE MOT (OCCUPATIONAL THERAPIST)
(907) 562-4550
Entity
Organization
Contact information
Practice address
4048 LAUREL ST, SUITE 303, ANCHORAGE, AK 99508-5333
(907) 562-4550
(907) 562-4554
Mailing address
12226 BRECKENRIDGE DR, EAGLE RIVER, AK 99577-7656
(907) 696-8549
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
1813
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3411
—
AK
Enumeration date
03/23/2007
Last updated
06/12/2008
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