Individual
SAMANTHA MARIE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
135 WESTFIELD CT APT 304, CLARKSVILLE, TN 37040-5076
(901) 826-9579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5745
TN
Other
Enumeration date
08/16/2017
Last updated
09/01/2017
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