Individual
SAMANTHA WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3130 WILSHIRE BLVD STE 409, LOS ANGELES, CA 90010-1206
(213) 389-1004
Mailing address
500 AVENUE G APT 14, REDONDO BEACH, CA 90277-6001
(732) 539-2264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5467
CA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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