Individual
MRS. CORRIE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7985 KNIGHT RD, GAINESVILLE, GA 30506-6427
(770) 781-4899
Mailing address
78 DAWSON VILLAGE WAY N, SUITE 140-53, DAWSONVILLE, GA 30534-7168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006327
GA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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