Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 752 | AK |
N | 225XE0001X | Environmental Modification | 752 | AK |
N | 225XG0600X | Occupational Therapist - Gerontology | 752 | AK |
N | 225XL0004X | Low Vision | 752 | AK |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 752 | AK |
NPI | 1639513088 |
---|---|
Provider Name | Maria Kartsounes |
First Address | Anchorage, AK 99524-2234 |
Second Address | Anchorage, AK 99501-3237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2013 |
Last Update Date | 28/04/2013 |