IndividualActive
Alicia Marcussen, OTR/L
NPI 1215601711 · Occupational Therapist · Douglas, WY
Provider details
- NPI number
- 1215601711
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT-1584 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
111 S 5th St
Douglas, WY 82633-2434
Phone: (307) 358-9330
Approximate (ZIP-level) locationGet directions
Mailing address
8943 Justonian Way
Dimondale, MI 48821-9579
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.