Individual
TIFFANY G ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12812 OLD GLENN HWY STE A3, EAGLE RIVER, AK 99577-7003
(907) 317-9349
Mailing address
11533 TARGHEE LOOP, EAGLE RIVER, AK 99577-8008
(907) 317-9349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023491
—
AK
Enumeration date
02/09/2009
Last updated
01/25/2023
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