Organization
SAMANTHAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA GILES (OCCUPATIONAL THERAPIST)
(270) 634-3539
Entity
Organization
Contact information
Practice address
700 COY TRCE, COLUMBIA, KY 42728-1779
(270) 634-3539
Mailing address
700 COY TRCE, COLUMBIA, KY 42728-1779
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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