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Individual

CONSTANCE E GORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1249
(907) 729-1260
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1249
(907) 729-1260

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
571
AK

Other

Enumeration date
11/20/2008
Last updated
11/20/2008
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