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Organization

CORE KINETICS OCCUPATIONAL THERAPY AND PHYSICAL REHABILITATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAMANTHA J RUSSELL OTR/L, OTD (OWNER/OPERATOR)
(907) 743-7820
Entity
Organization

Contact information

Practice address
4050 LAKE OTIS PKWY STE 211, ANCHORAGE, AK 99508-5221
(907) 743-7820
(907) 743-7821
Mailing address
4050 LAKE OTIS PKWY STE 211, ANCHORAGE, AK 99508-5221
(907) 743-7820
(907) 743-7821

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2553
AK

Other

Enumeration date
10/22/2013
Last updated
03/14/2024
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