Individual
SAMANTHA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
612 E OAK ST, GLENWOOD CITY, WI 54013-8520
(715) 265-4325
(715) 235-4375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104386
MN
225X00000X
Occupational Therapist
5682-26
WI
Other
Enumeration date
06/08/2015
Last updated
03/17/2018
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