| NPI | 1902165400 |
|---|---|
| Former Name | SAMANTHA MARIE CONZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013406) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 013406) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 013406) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 013406) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |