Individual
GAYLE ANNE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12580 OLD SEWARD HWY, ANCHORAGE, AK 99515-3506
(907) 301-4588
Mailing address
PO BOX 190722, ANCHORAGE, AK 99519-0722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PHYO409
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHYO409
DIVISION OF CORPORATIONS, BUSINESS, AND PROFESSIONAL LICENSING
AK
Enumeration date
08/18/2020
Last updated
08/18/2020
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