Organization
WELL HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BYL OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(616) 915-0218
Entity
Organization
Contact information
Practice address
1728 LOGAN ST, ANCHORAGE, AK 99508-3240
(616) 915-0218
Mailing address
1728 LOGAN ST, ANCHORAGE, AK 99508-3240
(616) 915-0218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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