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Individual

MRS. CAMELA MARIE RIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
4100 LAKE OTIS PKWY STE 308, ANCHORAGE, AK 99508-5231
(907) 563-8318
Mailing address
4100 LAKE OTIS PKWY STE 308, ANCHORAGE, AK 99508-5231
(907) 563-8318
(907) 563-3472

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1656
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OT1479
AK
Enumeration date
03/07/2007
Last updated
08/10/2009
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