Lioba Sophie Menger, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Haines, AK
NPI 1861033458 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1861033458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 157663 (AK)
- Practice address
- 69 Beach Road
Haines, AK 99827-0778 - Phone
- (907) 766-2101
- Fax
- (907) 766-2104
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157663 | AK | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 157663 | AK | Yes |
Addresses
Primary practice location
69 Beach Road
Haines, AK 99827-0778
Mailing address
PO Box 778
Haines, AK 99827-0778
Phone (907) 766-2101
Other providers in Haines, AK
- Teolani Rose Lynch
- Lynn Canal Human Resources, Inc.
- Rebecca Sue Malone
- Elizabeth Marantz
- Cesre Jean McQuaid
- Jody Lynn Miller
- Helena Muench
- Krystal Norberg
- Northern Construction, Inc
- Brigid O'Connor
All providers in Haines, AK · 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 Apr 14, 2022. 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.