Individual
MRS. BRENDA HELEN SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1355 W MAIN ST, MONROE, WA 98272-2022
(360) 794-4011
Mailing address
970 5TH AVE NW, SUITE 7, ISSAQUAH, WA 98027-2469
(253) 230-5641
(253) 912-4774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 00000193
WA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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