Individual
LAURIE J HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3600 LAKE OTIS PKWY STE 202, ANCHORAGE, AK 99508-5225
(907) 563-4263
(907) 563-4266
Mailing address
3600 LAKE OTIS PKWY STE 202, ANCHORAGE, AK 99508-5225
(907) 563-4263
(907) 563-4266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
463
AK
225XH1200X
Hand Occupational Therapist
463
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT4463
—
AK
Enumeration date
05/01/2007
Last updated
09/26/2012
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