Individual
SAMANTHA ELIZABETH WOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7000
Mailing address
3962 SHALLOWCREEK CT, WINSTON SALEM, NC 27127-7499
(336) 995-0041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12604
NC
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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