Individual
MRS. SAMANTHA LEE DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, COTA/L
Contact information
Practice address
4208 TERRACE DR, NEW WINDSOR, NY 12553-8480
(914) 275-3213
Mailing address
4208 TERRACE DR, NEW WINDSOR, NY 12553-8480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010671-01
NY
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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