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1023418142
SAMANTHA L HENDERSON
CANTON, OH
NPI
1023418142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.05487)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
Miss SAMANTHA L HENDERSON COTA/L
3057 CLEVELAND AVE SW
CANTON, OH 44707-3625
Phone number: 330-484-2547
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Mailing Address
Miss SAMANTHA L HENDERSON COTA/L
408 COMMONWEALTH AVE NE
MASSILLON, OH 44646-4526
Phone number: 330-760-3576
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