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Individual

SAMANTHA M BAREFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
113 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
Mailing address
1202 MEADOW LARK RD, DUNN, NC 28334-8347
(919) 939-0212

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8641
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211634
NC
Enumeration date
10/12/2016
Last updated
10/12/2016
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