Individual
SAMARA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
10923 RUSHWOOD WAY, CLERMONT, FL 34714-7545
(407) 314-5006
(352) 536-9669
Mailing address
10923 RUSHWOOD WAY, CLERMONT, FL 34714-7545
(407) 314-5006
(352) 536-9669
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
41014
FL
225X00000X
Occupational Therapist
OT11595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911070
—
FL
Enumeration date
09/24/2006
Last updated
09/11/2025
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