Individual
SAMANTHA FAYE COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18344 ROCKY HILL LN, ATHENS, AL 35613-5643
(256) 431-1357
Mailing address
18344 ROCKY HILL LN, ATHENS, AL 35613-5643
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2972
AL
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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