Individual
SAVUTH CHHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
Mailing address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1362
AK
Other
Enumeration date
03/22/2007
Last updated
04/17/2014
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