Individual
MRS. SAMANTHA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
100 HIGH POINT DR, MEDINA, OH 44256-4360
(330) 723-0110
Mailing address
600 E GRANGER RD, BROOKLYN HEIGHTS, OH 44131-6704
(440) 250-1840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007055
OH
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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