NPI | 1497136675 |
---|---|
Former Name | SAMANTHA PAIGE CAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3557) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 9775) |
Enumeration Date | 2015-06-14 |
Last Update Date | 2017-04-26 |