Individual
DR. SAMANTHA FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2850 W HORIZON RIDGE PKWY STE 320, HENDERSON, NV 89052-4395
(702) 564-4116
Mailing address
405 OAKEY CREST RIDGE ST, HENDERSON, NV 89012-4917
(505) 690-7696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3065
NV
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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