Individual
RICHARD BRENT SAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1911 WINDY CREEK WAY, NEW ALBANY, IN 47150-9667
(812) 246-5854
Mailing address
1911 WINDY CREEK WAY, NEW ALBANY, IN 47150-9667
(812) 246-5854
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000304A
IN
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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