Individual
SAMANTHA MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 S BAKER AVE, SALISBURY, MO 65281-1237
(660) 414-7305
Mailing address
1117 S BAKER AVE, SALISBURY, MO 65281-1237
(660) 414-7305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013033222
MO
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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