Organization
PEACEFUL CENTER OCCUPATIONAL THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA MOMENI (OCCUPATIONAL THERAPIST)
(505) 506-3443
Entity
Organization
Contact information
Practice address
2020 N HEMMER RD, PALMER, AK 99645-9604
(907) 887-1697
(888) 919-1403
Mailing address
2020 N HEMMER RD, PALMER, AK 99645-9604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/16/2018
Last updated
04/20/2022
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