Individual
MRS. STACEY SAMOEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 HAVENBROOK WAY NW, CONCORD, NC 28027-4131
(704) 756-2316
Mailing address
541 HAVENBROOK WAY NW, CONCORD, NC 28027-4131
(704) 756-2316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9269
NC
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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