Individual
SAMANTHA BOSTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
756 N SUN DR, LAKE MARY, FL 32746-2507
(407) 904-0132
Mailing address
4780 DATA CT, ORLANDO, FL 32817-8331
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6398
FL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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