Individual
RENEE KOTVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3000 C ST, ANCHORAGE, AK 99503-3975
(907) 345-0050
(907) 344-5103
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
221803
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221803
LICENSE
AK
Enumeration date
08/10/2017
Last updated
05/20/2024
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