Individual
SAMANTHA CHMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
120 MURRAY ST, MEDFORD, MA 02155-1300
(603) 966-8474
Mailing address
120 MURRAY ST, MEDFORD, MA 02155-1300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12733
MA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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