Individual
SAMANTHA C. SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4845 50TH ST W, APT 1513, BRADENTON, FL 34210-4809
(941) 545-0792
Mailing address
4845 50TH ST W, APT 1513, BRADENTON, FL 34210-4809
(941) 545-0792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10518
FL
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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