Individual
MRS. CHARITY ANN VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
203 W 15TH AVE, SUITE 105, ANCHORAGE, AK 99501-5128
(907) 980-1679
Mailing address
P.O. BOX 90902, ANCHORAGE, AK 99509-0902
(907) 980-1679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1753
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023562
—
AK
05
—
OT1753
—
AK
Enumeration date
10/25/2006
Last updated
11/08/2016
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