Individual
SAMANTHA DAWN OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
409 PARK AVE, ADAMSVILLE, TN 38310-2461
(731) 632-3301
Mailing address
752 N MAPLE ST, ADAMSVILLE, TN 38310-1627
(731) 607-9796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000003119
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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