Individual
SAMANTHA SENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Mailing address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
5202008675
MI
Other
Enumeration date
02/23/2019
Last updated
10/28/2021
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