Individual
SAMANTHA MACCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115
Mailing address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60924416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT60924416
OCCUPATIONAL THERAPIST LICENSE
WA
Enumeration date
09/28/2020
Last updated
05/31/2022
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