Individual
SAMANTHA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
213 SILVER RD, MADISON, WI 53714-2444
(262) 483-0043
Mailing address
213 SILVER RD, MADISON, WI 53714-2444
(262) 483-0043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4791-27
WI
Other
Enumeration date
11/10/2010
Last updated
04/27/2015
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