Individual
SAMANTHA LULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
7 JACOBS RD, THIELLS, NY 10984-1624
(845) 537-7017
Mailing address
7 JACOBS RD, THIELLS, NY 10984-1624
(845) 537-7017
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
025176-01
NY
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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