Individual
SAMANTHA LYNNE FLORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
444 JEFFERSON ST, GREENFIELD, OH 45123-1355
(937) 403-3634
Mailing address
444 JEFFERSON ST, GREENFIELD, OH 45123-1355
(937) 403-3634
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04664
OH
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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