Individual
DR. KATHLEEN ELIZABETH YANCOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L
Contact information
Practice address
650 N SHORELINE DR, WASILLA, AK 99654-6615
(907) 376-6363
(907) 376-6366
Mailing address
650 N SHORELINE DR, WASILLA, AK 99654-6615
(907) 376-6363
(907) 376-6366
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
212462
AK
225XH1200X
Hand Occupational Therapist
OC006201L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212462
OCCUPATIONAL THERAPY LICENSE
AK
Enumeration date
07/19/2023
Last updated
04/29/2025
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