Individual
SAMANTHA NICOLE DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1717 INDUSTRIAL DR, FORDYCE, AR 71742-7104
(870) 352-7975
Mailing address
1605 W PINE ST, WARREN, AR 71671-1811
(870) 226-7127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2205
AR
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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