Individual
SAMANTHA SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9301 HOFFMAN PL, WARRIOR, AL 35180-1515
(321) 397-7970
Mailing address
9301 HOFFMAN PL, WARRIOR, AL 35180-1515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000739
VA
224Z00000X
Occupational Therapy Assistant
Primary
3814
AL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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