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Individual

MRS. SAMANTHA MASSENGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830
(706) 655-5126
Mailing address
P O BOX 1000, WARM SPRINGS, GA 31830
(706) 655-5126

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001724
GA

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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