Individual
MRS. DEANNE MARIE SCHMUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1327 KALAKAKET STREET, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Mailing address
990 ELLESMERE DRIVE, FAIRBANKS, AK 99709
(907) 458-8158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
941
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A019
TRICARE
—
05
—
OT1096
—
AK
Enumeration date
03/27/2007
Last updated
07/08/2007
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