Individual
MRS. NICOLE LYNN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
535 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-2177
Mailing address
515 N ASH ST APT 1, MCPHERSON, KS 67460-3451
(620) 966-6454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702898
KS
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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