Individual
ELLEN MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1020 BARNETTE ST, FAIRBANKS, AK 99701-4502
(907) 456-4003
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-3690
(907) 543-1276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119825
AK
225X00000X
Occupational Therapist
OC014038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002573
—
AK
Enumeration date
09/01/2015
Last updated
11/16/2022
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