Individual
SAMANTHA KASPRZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
NORTHLAND - RURAL THERAPY ASSOCIATES, 2915 NORTH 4TH STREET, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Mailing address
2915 NORTH 4TH STREET, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007908
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578439
—
AZ
Enumeration date
09/09/2019
Last updated
05/08/2021
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