Individual
SAMANTHA PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 3RD AVE APT 33, NEW YORK, NY 10065-7687
(917) 509-7735
Mailing address
1059 3RD AVE APT 33, NEW YORK, NY 10065-7687
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011395-01
NY
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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