Individual
MELISSA J BALVANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3065 COLLEGE RD, FAIRBANKS, AK 99709-3702
(907) 374-1686
(907) 374-1659
Mailing address
3065 COLLEGE RD, FAIRBANKS, AK 99709-3702
(907) 374-1686
(907) 799-9595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2089
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002573
—
AK
Enumeration date
08/27/2009
Last updated
10/23/2019
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