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Individual

NATHAN MISSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
650 N SHORELINE DR, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366
Mailing address
650 N SHORELINE DR, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114090
AK

Other

Enumeration date
08/23/2016
Last updated
05/29/2020
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