Individual
DR. RANDY LEE APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., OT/L
Contact information
Practice address
602 CHASE AVE., CORDOVA, AK 99574
(907) 424-8246
Mailing address
PO BOX 421, CORDOVA, AK 99574-0421
(907) 978-4223
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2198
AK
225XP0200X
Pediatric Occupational Therapist
2198
AK
Other
Enumeration date
10/05/2012
Last updated
03/13/2013
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