Individual
SAMANTHA ANNETTE MULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-4300
Mailing address
6143 E MORNING LN, YUMA, AZ 85365-1189
(559) 907-5669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008592
AZ
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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