Individual
MRS. SAMANTHA KAISHA MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
714 W ORMAN AVE, PUEBLO, CO 81004-1428
(719) 289-2530
Mailing address
1060 HARRISON RD, COLORADO SPRINGS, CO 80905-3586
(719) 579-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T-OT0000031
CO
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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