Individual
MISS MIA SAMANTHA ALLMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
504 KINTYRE DR, MONROE, NC 28112-4111
(704) 927-5885
Mailing address
344 S REVERE CV APT 304, TEGA CAY, SC 29708-8692
(828) 331-7701
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
4399
NC
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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