Healthcare Provider Details

I. General information

NPI: 1811790017
Provider Name (Legal Business Name): AMANDA LEE HANSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 DEBARR RD
ANCHORAGE AK
99508-2932
US

IV. Provider business mailing address

11471 BUSINESS BLVD UNIT 770058
EAGLE RIVER AK
99577-0039
US

V. Phone/Fax

Practice location:
  • Phone: 907-276-1131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number236782
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number107741
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: