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MS. HEIDI ELLEN CLIFFORD OT L

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

Registrant NPI Number: 1366587834

Individual Registrant:
MS. HEIDI ELLEN CLIFFORD OT L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6311 DEBARR RD STE J RUSSIAN JACK PLAZA ANCHORAGE, AK 99504-1777 US
Tel: 907-350-3840  Fax: 907-337-0493

Contact information for business:
5432 E NORTHERN LIGHTS BLVD # 427  ANCHORAGE, AK 99508-4713 US
Tel: 907-350-3840  Fax: 907-337-0493

Registration Information:
NPI: 1366587834
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AK479

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OT8794AK05




HEALTH CARE JOBS AK - Page 1



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