| NPI | 1336655208 |
|---|---|
| Former Name | SAMANTHA J RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 002405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 002405) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-07-21 |