Individual
JESSA SAMSON VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2533 PROVIDENCE DR STE 146, ANCHORAGE, AK 99508-4610
(907) 786-1800
Mailing address
2533 PROVIDENCE DR STE 146, ANCHORAGE, AK 99508-4610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
02/03/2023
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