Individual
DR. SAMANTHA LEE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
997 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-3311
(904) 647-1849
Mailing address
241 E 4TH ST, JACKSONVILLE, FL 32206
(904) 401-0506
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT24345
FL
Other
Enumeration date
06/26/2023
Last updated
02/20/2025
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