Individual
MRS. SAMANTHA BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1475 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(313) 278-4601
Mailing address
36626 TESSENS DR, CLINTON TOWNSHIP, MI 48035-1949
(586) 382-3634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225800000X
Recreation Therapist
—
MI
225X00000X
Occupational Therapist
Primary
526010
MI
Other
Enumeration date
09/26/2010
Last updated
03/25/2025
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