Individual
DR. SAMANTHA JO GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
283742
KY
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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