NPI 1649912049
Lane D Gambill, CTRS
Practice location
- Address
- 1145 S Corkey St, Wasilla, AK 99654-7910
- Phone
- (907) 795-5907
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1649912049
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Apr 2022
- Record last updated
- 7 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.