Individual
SAMANTHA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9231 RUMSEY RD STE 2, COLUMBIA, MD 21045-2061
(443) 546-3884
Mailing address
1313 WARWICK DR, LUTHERVILLE, MD 21093-5512
(410) 979-9057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09228
MD
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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