SAMANTHA KRISTINA THEDIECK

RICHMOND, VA
NPI1295627156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131002655)
Enumeration Date2025-07-16
Last Update Date2025-07-16
Business Address
SAMANTHA KRISTINA THEDIECK COTA/L
1900 LAUDERDALE DR
RICHMOND, VA 23238-3933
Phone number: 804-740-2900
Mailing Address
SAMANTHA KRISTINA THEDIECK COTA/L
6243 MIDNIGHT DR
MECHANICSVILLE, VA 23111-6566
Phone number: 804-380-0598
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