Individual
SAMANTHA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1005 BEAVER GRADE RD STE 120, MOON TOWNSHIP, PA 15108-2949
(412) 742-0964
Mailing address
6867 SOUTHPOINT DR N, SUITE 106, JACKSONVILLE, FL 32216-8043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC015319
PA
225XP0200X
Pediatric Occupational Therapist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02038530000
—
WV
Enumeration date
07/01/2010
Last updated
05/03/2024
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