Individual
MRS. SAMANTHA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 COY TRCE, COLUMBIA, KY 42728
(270) 634-3539
Mailing address
700 COY TRCE, COLUMBIA, KY 42728-1779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
169296
KY
Other
Enumeration date
10/16/2016
Last updated
06/15/2018
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