Individual
SAMANTHA TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
4004 MICHELLE CT SE, LACEY, WA 98503-4348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60812378
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2015
Last updated
03/03/2024
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