Kasprzyk, Samantha

Kasprzyk, Samantha is an individual health care provider with primary practice located at Northland - Rural Therapy Associates 2915 North 4Th Street, Flagstaff AZ 86004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kasprzyk, Samantha can be contacted via phone (928) 779-1679.

Contact Information

Primary practice address
Northland - Rural Therapy Associates 2915 North 4Th Street Flagstaff AZ 86004
Phone: (928) 779-1679
Fax: (928) 779-2822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTH-007908 Arizona

Profile Details

NPI number 1235788688
LBN Legal business name Kasprzyk, Samantha
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated May 8th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235788688 NPPES
Arizona MEDICAID 578439

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