Individual
SAMUEL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2000
Mailing address
622 STRINGTOWN RD, PARIS, KY 40361-9387
(859) 707-0562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260033
KY
Other
Enumeration date
07/09/2019
Last updated
08/30/2024
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