Individual
SAMANTHA JOHNNYE MISETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9256 BENDIX RD STE 105-106, COLUMBIA, MD 21045-1840
(410) 796-8499
Mailing address
5384 SMOOTH MEADOW WAY UNIT 24, COLUMBIA, MD 21044-1869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08933
MD
Other
Enumeration date
01/23/2020
Last updated
12/17/2022
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