Individual
SAMANTHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1062 W MERCURY BLVD # B, HAMPTON, VA 23666-1068
(757) 644-0644
Mailing address
4454 OLD SQUAW LN, GLOUCESTER, VA 23061-3644
(908) 914-2984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131003078
VA
224Z00000X
Occupational Therapy Assistant
46TA09186600
NJ
224Z00000X
Occupational Therapy Assistant
OP009724
PA
Other
Enumeration date
12/17/2019
Last updated
06/16/2025
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