Individual
SAMANTHA AMEPEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
Mailing address
13187 ADAMS ST, QUANTICO, VA 22134-4201
(808) 393-0570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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