| NPI | 1992193627 |
|---|---|
| Former Name | SAMANTHA SCAVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 4355) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-02-20 |