Individual
SAMANTHA KERSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
60 E CHESTNUT ST, APT 2, MIFFLINBURG, PA 17844-1435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006846
PA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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