Individual
DEANDRA MCLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
Mailing address
525 SHANE CT, KENAI, AK 99611-8523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123661
AK
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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