Individual
ALEXANDRA ILONA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3801 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5234
(907) 562-2277
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
226537
AK
225XH1200X
Hand Occupational Therapist
Primary
226537
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748593
—
AK
Enumeration date
07/01/2024
Last updated
10/29/2025
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