Bagnato, Samantha Herrell

Bagnato, Samantha Herrell is an individual health care provider with primary practice located at 2235 Tacketts Mill Dr # C , Woodbridge VA 22192-3036. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Bagnato, Samantha Herrell can be contacted via phone (703) 491-1044.

Contact Information

Primary practice address
2235 Tacketts Mill Dr # C Woodbridge VA 22192-3036
Phone: (703) 491-1044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0119008524 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119008524 Virginia

Profile Details

NPI number 1164017927
LBN Legal business name Bagnato, Samantha Herrell
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2021
Last updated Jan 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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