Individual
SAMANTHA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
217 E SOUTHWAY BLVD STE 106, KOKOMO, IN 46902-3577
(765) 236-8775
Mailing address
217 E SOUTHWAY BLVD STE 106, KOKOMO, IN 46902-3577
(765) 236-8775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003798A
IN
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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