Individual
SAMANTHA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 N MECCA ST, CORTLAND, OH 44410-1074
(330) 638-2420
Mailing address
7155 STATE ROUTE 534, WEST FARMINGTON, OH 44491-9704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
362175
OH
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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