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Individual

MELISSA DIANE BARAHONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
3300 PROVIDENCE DR STE B201, ANCHORAGE, AK 99508-4621
(907) 212-3116
(907) 212-2570
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
149854
AK

Other

Enumeration date
08/22/2019
Last updated
01/05/2021
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