Individual
SAMANTHA MAY DORTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-0740
Mailing address
2918 CANAL BLVD, HAYS, KS 67601-1704
(785) 324-2374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04348
KS
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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