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Individual

DR. SAMANTHA LYNN DEVELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
409 KILBERRY LN, FORT MILL, SC 29715-6938
(704) 996-7316

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13428
NC
225X00000X
Occupational Therapist
7551
SC

Other

Enumeration date
09/23/2020
Last updated
04/03/2026
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