Individual
JANAE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 HIAWATHA ST, BROOKVILLE, PA 15825-2152
(814) 648-1331
Mailing address
256 HIAWATHA ST, BROOKVILLE, PA 15825-2152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007992
PA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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