Cirque Therapy, LLC

NPI #1275937013 in Homer, Alaska

Provider Information

NPI Number
1275937013
Entity Type
Organization
Organization Name
Cirque Therapy, LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Oct 21, 2014
Last Updated
Oct 21, 2014

Practice Location

Address
653 W FAIRVIEW AVE
Address 2
APT I
City
Homer
State
Alaska
ZIP Code
99603-7444
Phone
(907) 756-1101

Authorized Official

Name
MELISSA L GAGNON, OTD, OTR/L
Title
MEMBER, OCCUPATIONAL THERAPIST
Phone
(907) 756-1101

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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