Individual
SAMANTHA CUBBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 SENOIA RD STE A1, TYRONE, GA 30290-1640
(678) 632-6765
(678) 550-7931
Mailing address
1130 SENOIA RD STE A1, TYRONE, GA 30290-1640
(678) 632-6765
(678) 550-7931
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007974
GA
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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