Individual
SAMATHA SABAH-STILWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Mailing address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15109
FL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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