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Individual

SAMANTHA KNETSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
2150 ALT 19 STE A, PALM HARBOR, FL 34683-5363
(727) 687-4180
Mailing address
2211 2ND AVE N, ST PETERSBURG, FL 33713-8822

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012080
IL

Other

Enumeration date
07/29/2019
Last updated
10/08/2021
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