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1831742386
SAMANTHA WOOD
GREEN BAY, WI
NPI
1831742386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5603-27)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
SAMANTHA WOOD COTA/L
1760 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-499-5191
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Mailing Address
SAMANTHA WOOD COTA/L
1760 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number:
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