Individual
SAMANTHA STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 S. BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 258-7575
Mailing address
1650 S. BRAGAW ST, ANCHORAGE, AK 99508-3435
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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