Individual
SAMANTHA MARIE STAJDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3200 STATE ST, SAGINAW, MI 48602-3475
(989) 525-5056
Mailing address
7570 LAURIE LN N, SAGINAW, MI 48609-4942
(989) 525-5056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008302
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-1378417
SELECT REHABILIATION
MI
Enumeration date
07/19/2018
Last updated
07/19/2018
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