Individual
BRYNN NOELLE CASLAVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSRS MSOT OTR/L
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701
(907) 374-4911
Mailing address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
107668
MN
225X00000X
Occupational Therapist
4040
MT
225XP0200X
Pediatric Occupational Therapist
Primary
145380
AK
Other
Enumeration date
04/04/2019
Last updated
02/13/2025
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