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Individual

MRS. SAMANTHA LAINE MULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
200 SAND CREEK HWY, ADRIAN, MI 49221-1255
(517) 263-6794
Mailing address
106 WASHINGTON ST, DELTA, OH 43515-1434
(419) 304-1294

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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