Individual
SHAUNA BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
650 N SHORELINE DR, WASILLA, AK 99654-6677
(907) 376-6363
Mailing address
17524 KAHILTNA DR, EAGLE RIVER, AK 99577-8240
(626) 354-3881
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2304
AK
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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