| 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 |