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Individual

WILLIAM G BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
PHYO1438
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023553
AK
Enumeration date
11/16/2006
Last updated
08/16/2016
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