Individual
SAMANTHA GRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2625 TOWNSGATE RD STE 102, WESTLAKE VILLAGE, CA 91361-5726
(805) 413-3009
Mailing address
4540 HAZELTINE AVE APT 1, SHERMAN OAKS, CA 91423-2821
(818) 371-8320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18841
CA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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