Individual
CHARMAINE RUTH MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1917 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3449
(907) 279-4266
Mailing address
4047 EASTER ISLAND CIR, ANCHORAGE, AK 99515-2257
(281) 250-2509
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
123422
AK
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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