| NPI | 1922553767 |
|---|---|
| Former Name | SAMANTHA DAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ OTH-008164) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-06-29 |