Individual
SAMANTHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 NW 128TH DR, SUNRISE, FL 33323-5206
(954) 347-9573
Mailing address
PO BOX 245471, PEMBROKE PINES, FL 33024-0107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18961
FL
Other
Enumeration date
05/19/2022
Last updated
05/30/2023
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