Individual
SAMANTHA MIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5 CEDAR PARK BLVD, EASTON, PA 18042-7108
(610) 829-0100
Mailing address
597 BIERYS BRIDGE RD, BETHLEHEM, PA 18017-1103
(817) 703-8825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010169
PA
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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