Individual
SAM WON YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
854 E WILLIAMS FIELD RD STE 105, GILBERT, AZ 85295-0703
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(844) 526-2649
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500165
—
AZ
Enumeration date
06/16/2021
Last updated
06/16/2021
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