Individual
SARA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Mailing address
1200 W NORTHERN LIGHTS BLVD STE A, ANCHORAGE, AK 99503-3652
(907) 212-2090
(907) 212-2570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1925
ID
225X00000X
Occupational Therapist
Primary
206012
AK
Other
Enumeration date
08/10/2019
Last updated
08/19/2024
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