Organization
SPEECH- LANGUAGE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA K HANSON-BOHL BILLING STAFF (OWNER OF BILLING COMPANY)
(512) 656-3830
Entity
Organization
Contact information
Practice address
4325 LAUREL ST, STE 100, ANCHORAGE, AK 99508-5364
(907) 569-5666
(866) 393-1651
Mailing address
4325 LAUREL ST, STE 100, ANCHORAGE, AK 99508-5364
(907) 569-5666
(866) 393-1651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
BL22023
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPG0462
—
AK
Enumeration date
08/24/2013
Last updated
08/24/2013
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