Individual
SAMANTHA CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 OLD WEAVER TRL, WAKE FOREST, NC 27587-8660
(919) 719-6341
Mailing address
1521 OLD WEAVER TRL, WAKE FOREST, NC 27587-8660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17491
NC
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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