Individual
SANDRA MELISSA SAMAYOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2100 E MARTIN LUTHER KING JR BLVD, AUSTIN, TX 78702-1342
(512) 900-7934
Mailing address
2100 E MARTIN LUTHER KING JR BLVD, AUSTIN, TX 78702-1342
(512) 900-7934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214820
TX
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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