Individual
DR. MELISSA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
653 W FAIRVIEW AVE, APT I, HOMER, AK 99603-7444
(907) 756-1101
Mailing address
PO BOX 2157, HOMER, AK 99603-2157
(907) 756-1101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2854
AK
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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