Individual
SAMATHA E DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Mailing address
14 RAVENCREST DR, IOWA CITY, IA 52245-3924
(813) 545-4423
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0005760
CO
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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