OrganizationActive
Peninsula Pediatric Therapy, Inc.
NPI 1194152058 · Multi-Specialty Clinic/Center · Palmer, AK
Provider details
- NPI number
- 1194152058
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shani Dean, President
- License
- 334 (AK)
Practice location
7335 Palmer Wasilla Hwy
Palmer, AK 99645-6007
Phone: (907) 250-1151
Fax: (907) 782-4202
Mailing address
9040 E Gold Pan Dr
Palmer, AK 99645-9684
Registry dates
- Enumerated
- 2013-10-08
- Last updated
- 2015-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.