Individual
TERRI LEE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
836 E 2ND ST, DEFIANCE, OH 43512-2326
(419) 782-0836
Mailing address
149 SCOTT ST, OTTAWA, OH 45875-1021
(419) 523-6755
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00859
OH
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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