Individual
MRS. SAMANTHA LYNN NESTHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
Mailing address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13593
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
12/03/2014
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