Individual
KATHARINE MARIE SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5647 GULF DR, NEW PORT RICHEY, FL 34652-4019
(727) 645-6542
Mailing address
5647 GULF DR, NEW PORT RICHEY, FL 34652-4019
(727) 645-6542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT13073
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT13073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892810000
—
FL
Enumeration date
04/22/2008
Last updated
05/13/2021
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