Individual
SAMANTHA A GAUNTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 RAINTREE CIR, ALLEN, TX 75013-4912
(972) 908-2000
Mailing address
8787 LEGACY DR APT 1271, FRISCO, TX 75034-2522
(347) 447-8423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215351
TX
Other
Enumeration date
03/31/2021
Last updated
04/06/2021
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