Individual
ALICIA YUKA MARCUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-9330
Mailing address
8943 JUSTONIAN WAY, DIMONDALE, MI 48821-9579
(517) 763-1068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1584
WY
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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