Individual
SAMANTHA A DEGOLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
1203 N MERIDIAN ST, LEBANON, IN 46052-1813
(317) 294-9034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008404A
IN
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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