Individual
SAMANTHA G BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
405 S SEMINOLE AVE, MINNEOLA, FL 34715-5520
(352) 394-0212
(353) 241-6361
Mailing address
PO BOX 120547, CLERMONT, FL 34712-0547
(352) 394-0212
(352) 241-6361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11516
FL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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