Individual provider · NPI-1
Gayle Anne Andrus, MOT, OTR/L
Occupational Therapist · Anchorage, AK
NPI number1508478835
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1508478835
- Entity type
- Individual (NPI-1)
- Name
- Gayle Anne Andrus
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | PHYO409 | AK | Yes |
Practice location
12580 Old Seward HwyAnchorage, AK 99515-3506
Phone 907-301-4588
Mailing address
Po Box 190722Anchorage, AK 99519-0722
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