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Individual

MARIANNE SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
307 SW 5TH ST, FORT LAUDERDALE, FL 33315-1048
(954) 764-6556
Mailing address
307 SW 5TH ST, FORT LAUDERDALE, FL 33315-1048
(954) 764-6556

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 10206
FL

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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