Individual
SAMUEL HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 E MCCREIGHT AVE, SPRINGFIELD, OH 45503-3653
(937) 399-8311
Mailing address
6511 NOVA DR # 237, DAVIE, FL 33317-7401
(240) 328-2733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011833
OH
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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