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Individual

MR. JERRY PASOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
6613 BRAYTON DR STE A, ANCHORAGE, AK 99507-2153
(907) 334-9002
(907) 334-9320
Mailing address
PO BOX 113394, ANCHORAGE, AK 99511-3394
(907) 334-9002

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1262
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OT45641
AK
Enumeration date
08/11/2008
Last updated
08/11/2008
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