Individual
MARIE KOLEKA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HOMER DR STE F, ANCHORAGE, AK 99518-3330
(907) 345-0050
(907) 344-5103
Mailing address
8200 HOMER DR STE F, ANCHORAGE, AK 99518-3330
(907) 345-0050
(907) 344-5103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2698
AK
225XP0200X
Pediatric Occupational Therapist
Primary
2698
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
536
STATE OF ALASKA OT LICENSE
AK
Enumeration date
10/11/2013
Last updated
02/05/2015
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