Individual
AMANDA MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 LAUREL ST, SUITE 102, ANCHORAGE, AK 99508-5364
(907) 569-5660
(185) 544-9448
Mailing address
4325 LAUREL ST, SUITE 102, ANCHORAGE, AK 99508-5364
(907) 569-5660
(185) 544-9448
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
NO. 2921
AK
225XP0200X
Pediatric Occupational Therapist
Primary
NO. 2921
AK
Other
Enumeration date
11/14/2008
Last updated
06/04/2015
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