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Individual

SAMANTHA GUBKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
(480) 472-0710
Mailing address
2565 S SIGNAL BUTTE RD UNIT 16, MESA, AZ 85209-2138
(480) 276-0391

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
07/28/2020
Last updated
07/28/2020
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