Organization
FOUR RAVENS OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE HOTCH MOT, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(907) 766-2101
Entity
Organization
Contact information
Practice address
69 BEACH ROAD, HAINES, AK 99827-0778
(907) 766-2101
(907) 766-2104
Mailing address
PO BOX 778, HAINES, AK 99827-0778
(907) 766-2101
(907) 766-2104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1660
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023560
—
AK
Enumeration date
08/04/2014
Last updated
07/17/2018
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