Individual
SAMANTHA STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13639 TORTONA LN APT 2109, WINDERMERE, FL 34786-7467
(407) 907-7936
Mailing address
13639 TORTONA LN APT 2109, WINDERMERE, FL 34786-7467
(407) 907-7936
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT19186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105225300
—
FL
Enumeration date
12/17/2013
Last updated
06/10/2024
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