Individual
MARISA VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3934 SPENARD RD, UNIT B, ANCHORAGE, AK 99517-3005
(907) 717-2307
Mailing address
3934 SPENARD RD, UNIT B, ANCHORAGE, AK 99517-3005
(907) 717-2307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110263
AK
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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