Individual
SAMANTHA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5301 PROVIDENCE RD STE 8090, VIRGINIA BEACH, VA 23464-4128
(757) 467-4604
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010004
VA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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