NPI | 1174018279 |
---|---|
Other Name | SAMANTHA ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5742) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5742) |
225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT007076) | |
Enumeration Date | 2018-06-30 |
Last Update Date | 2022-12-21 |