Individual
PAUL KENNETH R MANABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, 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
197898
AK
225XH1200X
Hand Occupational Therapist
Primary
197898
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732430
—
AK
Enumeration date
09/08/2022
Last updated
10/29/2025
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