Individual
CHARLOTTE E GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Mailing address
1733 UNIVERSITY AVE S APT F64, FAIRBANKS, AK 99709-4981
(507) 512-0330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
220361
AK
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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