Individual
SAMANTHA NICOLE MACKZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Mailing address
8903 EAGLEVIEW DR APT 2, WEST CHESTER, OH 45069-6708
(513) 368-8277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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