Organization
DENALI OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD P MILLER OTR/L (SOLE MEMBER)
(734) 635-4469
Entity
Organization
Contact information
Practice address
3725 E WICKERSHAM WAY, WASILLA, AK 99654-7557
(734) 635-4469
Mailing address
3725 E WICKERSHAM WAY, WASILLA, AK 99654-7557
(734) 635-4469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
978398
AK
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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