Individual
MS. SAMANTHA JANE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
8801 MCCLELLAN CIR, ANCHORAGE, AK 99502-5587
(907) 227-2434
Mailing address
8801 MCCLELLAN CIR, ANCHORAGE, AK 99502-5587
(907) 227-2434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2553
AK
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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