Individual
SAMANTHA LYNNE AMEREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
550 GLENWOOD DR, MOORESVILLE, NC 28115-2876
(704) 664-7494
Mailing address
15718 SEAFIELD LN, HUNTERSVILLE, NC 28078-2284
(304) 374-0814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7276
NC
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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