Organization
LIVING THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISA ELLIOTT OT/L (OWNER)
(907) 746-7300
Entity
Organization
Contact information
Practice address
7335 EAST PALMER-WASILLA HWY,, SUITE 1-A, PALMER, AK 99645
(907) 746-7300
Mailing address
PO BOX 321, PALMER, AK 99645-0321
(907) 746-7300
(907) 746-7302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2105
AK
225XP0200X
Pediatric Occupational Therapist
Primary
OT3407
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT3407
—
AK
Enumeration date
12/17/2009
Last updated
12/17/2009
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