Cirque Therapy, LLC
Organization Active NPI Pediatric Occupational Therapist · Homer, AK
NPI 1275937013 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1275937013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 2854 (AK)
- Legal business name
- CIRQUE THERAPY, LLC
- Practice address
- 653 W Fairview Ave
Apt I
Homer, AK 99603-7444 - Phone
- (907) 756-1101
- NPI assigned
- Oct 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Melissa L Gagnon, OTD, OTR/L
- Title
- Member, Occupational Therapist
- Phone
- (907) 756-1101
Practitioners 1
-
Melissa Gagnon, OTD, OTR/L
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist |
225XP0200X | 2854 | AK | Yes |
Addresses
Primary practice location
653 W Fairview Ave
Apt I
Homer, AK 99603-7444
Mailing address
PO Box 2157
Homer, AK 99603-2157
Phone (907) 756-1101
Other providers in Homer, AK
- Melody Chesley
- Gwendolynn Stacy Chickalusion
- Chirotherm Inc
- Nathan Chorman
- Amy Louise Christiansen
- City of Homer
- Bobbi Moore Cleary
- Jeanne Clifford
- Clinic of Chiropractic Health, LLC
- Megan Connell
All providers in Homer, AK · Pediatric 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 Oct 21, 2014. 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.