Individual
BRANDON FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 887-6325
Mailing address
3805 CAROLINA DR # 2, ANCHORAGE, AK 99517-2582
(907) 887-6325
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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