Provider Demographics
NPI:1326322322
Name:VERBAAN, LOIS JOANNE (OTR)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:JOANNE
Last Name:VERBAAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 EDGECUMBE DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7030
Mailing Address - Country:US
Mailing Address - Phone:907-752-8264
Mailing Address - Fax:
Practice Address - Street 1:1301 EDGECUMBE DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7030
Practice Address - Country:US
Practice Address - Phone:907-752-8264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2235225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist