Individual
SAMANTHA VAN LEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 GREEN VALLEY CIR, CULVER CITY, CA 90230-6938
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(661) 600-2301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5345
CA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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