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1992233340
MATTHEW TAYLOR SAMPLES
BRISTOL, VA
NPI
1992233340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 5619)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
MATTHEW TAYLOR SAMPLES OTR/L
245 NORTH ST
BRISTOL, VA 24201-3274
Phone number: 276-669-4711
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Mailing Address
MATTHEW TAYLOR SAMPLES OTR/L
609 SPRING HILL RD APT 7
JOHNSON CITY, TN 37604-3879
Phone number:
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