SAMANTHA NICOLE MACKZUM

PUEBLO, CO
NPI1588425490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
SAMANTHA NICOLE MACKZUM OTR/L
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-584-4000
Mailing Address
SAMANTHA NICOLE MACKZUM OTR/L
8903 EAGLEVIEW DR APT 2
WEST CHESTER, OH 45069-6708
Phone number: 513-368-8277