Individual
MRS. KATHLEEN MARIE KARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1327 KALAKAKET STREET, FAIRBANKS, AK 99709
(907) 452-4517
Mailing address
PO BOX 70782, FAIRBANKS, AK 99707-0782
(907) 488-2174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
346
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A016
TRICARE
—
05
—
OT52771
—
AK
Enumeration date
03/03/2006
Last updated
05/20/2016
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