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NPI Code Detail

MEDICARE: CHRISTINE E FLAHERTY OTR/L

MEDICARE: CHRISTINE E FLAHERTY OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1756AK

General Provider Information

NPI Number : 1538398318
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE E FLAHERTY OTR/L
Provider Business Mailing Address
First Line : 9100 CENTENNIAL CIR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-1480
Country : US
Telephone Number : 907-333-8100
Fax Number :
Provider Business Practice Location Address
First Line : 9100 CENTENNIAL CIR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-1480
Country : US
Telephone Number : 907-333-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2009
Last Update Date : 07/14/2009

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Directions to “ CHRISTINE E FLAHERTY OTR/L” Practice Location

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