Individual
SAMANTHA KUBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
353 E 78TH ST, NEW YORK, NY 10075-1313
(212) 288-1450
Mailing address
220 E 63RD ST APT 1H, NEW YORK, NY 10065-7658
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021592
NY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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