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MRS. TARA MICHELE CREWS MS OTRL

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1235285610

Individual Registrant:
MRS. TARA MICHELE CREWS MS OTRL
Gender: F
Sole Proprietor

Location and contact information for practice:
1049 CHENA RD APT 9  FORT WAINWRIGHT, AK 99703-1322 US
Tel: 907-356-1319  Fax: --

Contact information for business:
1049 CHENA RD APT 9  FORT WAINWRIGHT, AK 99703-1322 US
Tel: 907-356-1319  Fax: --

Registration Information:
NPI: 1235285610
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AK1711

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OT 1711AK05




HEALTH CARE JOBS AK - Page 1



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