Individual
SAMANTHA DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7080 N 19TH AVE, PHOENIX, AZ 85021-8585
(480) 530-0890
Mailing address
53 W OREGON AVE, PHOENIX, AZ 85013-2022
(602) 575-1930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046661
AZ
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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