Individual
MISS KERI JO MCENTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
209 MOLLER AVE STE 102, SITKA, AK 99835-7142
(907) 966-8969
Mailing address
209 MOLLER AVE STE 102, SITKA, AK 99835-7142
(907) 966-8969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PHYO2892
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701935
—
AK
01
—
70206
BUSINESS LICENSE NUMBER
AK
Enumeration date
08/12/2021
Last updated
08/12/2021
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