Individual
OLIVIA CLAIRE KACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 SALMON CREEK LN, JUNEAU, AK 99801-7861
(907) 463-4040
Mailing address
1200 SALMON CREEK LN, JUNEAU, AK 99801-7861
(907) 463-4040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
106839
MN
225X00000X
Occupational Therapist
Primary
121038
TX
225X00000X
Occupational Therapist
23700
CA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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