Randy Lee Apodaca, PH.D., OT/L
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Cordova, AK
NPI 1134471774 · NPPES record last updated Mar 13, 2013
Key facts
- NPI
- 1134471774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- License
- 2198 (AK)
- Practice address
- 602 Chase Ave.
Cordova, AK 99574 - Phone
- (907) 424-8246
- NPI assigned
- Oct 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 2198 | AK | Yes |
| Pediatric Occupational Therapist | 225XP0200X | 2198 | AK |
Addresses
Primary practice location
602 Chase Ave.
Cordova, AK 99574
Mailing address
PO Box 421
Cordova, AK 99574-0421
Phone (907) 978-4223
Other providers in Cordova, AK
- Acupuncture & Wellness of Cordova
- Ellen Americus
- Sun Young An
- Susan M. Banks
- Terry L Bartley
- Myaliesa Bingham
- Richard Donald Bingham
- David R. Bryant
All providers in Cordova, AK · Physical Rehabilitation Occupational Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.