Individual
MRS. SAMANTHA PATRICIA LASKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
125 W BROAD ST, STATESVILLE, NC 28677-5257
(704) 775-4466
Mailing address
125 W BROAD ST, STATESVILLE, NC 28677-5257
(704) 775-4466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578977179
—
NC
Enumeration date
02/22/2022
Last updated
02/22/2022
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