Individual
SAMANTHA BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 BLOOMFIELD AVE STE 102, CALDWELL, NJ 07006-5165
(862) 621-9390
Mailing address
12 MC NISH WAY, WEST CALDWELL, NJ 07006-3801
(973) 525-2577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09184400
NJ
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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