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Individual
SAMANTHA FORDE
Active
Individual
SAMANTHA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC.OT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT17433
CA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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