Organization · NPI-2

Alaska Ot Services, LLC

Occupational Therapist, Pediatrics · Anchorage, AK

NPI number1801167002
StatusActive
Last updated in NPPESFeb 20, 2012

Details

NPI
1801167002
Entity type
Organization (NPI-2)
Legal business name
Alaska Ot Services, LLC
Organization subpart
No
Enumeration date
Jan 19, 2012
Last updated
Feb 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics495AKYes
225X00000X Occupational Therapist495AK

Practice location

124 E 23rd Ave
Anchorage, AK 99503-2010

Phone 907-223-2567

Mailing address

P.O. Box #242761
Anchorage, AK 99524-2761

Phone 907-223-2567

Authorized official

Maureen Ann Johnson
Occupational Therapist
9072232567

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