Individual
MRS. SAMANTHA MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-4761
Mailing address
2415 7TH AVE, CHARLESTON, WV 25387-1813
(304) 417-2922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1967
WV
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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