Individual
SAMANTHA HOFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13020 FRONTAGE RD STE 105, BENTONVILLE, AR 72712-5625
(479) 310-9107
Mailing address
13020 FRONTAGE RD STE 105, BENTONVILLE, AR 72712-5625
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR3828
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790200202
—
ID
Enumeration date
11/17/2021
Last updated
08/04/2024
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