Individual
TERESA COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
10207 STEWART DRIVE, EAGLE RIVER, AK 99577
(405) 420-8372
Mailing address
4600 BUSINESS PARK BLVD., SUITE D-24, EAGLE RIVER, AK 99577
(907) 561-1478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2148
AK
225X00000X
Occupational Therapist
7377850-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577965
—
AK
Enumeration date
10/09/2009
Last updated
05/03/2018
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