Individual
MARK BLAIRE AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
203 S SANTA CLAUS LN # 4, NORTH POLE, AK 99705-7711
(907) 887-1697
Mailing address
5651 LAKE TRACE DR, HOOVER, AL 35244-3969
(205) 515-2393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
234140
AK
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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