Samples, Katharine Marie

Samples, Katharine Marie is an sole proprietor health care provider with primary practice located at 5647 Gulf Dr , New Port Richey FL 34652-4019. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Samples, Katharine Marie can be contacted via phone (727) 645-6542.

Contact Information

Primary practice address
5647 Gulf Dr New Port Richey FL 34652-4019
Phone: (727) 645-6542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT13073 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT13073 Florida

Profile Details

NPI number 1134393002
LBN Legal business name Samples, Katharine Marie
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated May 13th, 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 1134393002 NPPES
Florida MEDICAID 892810000

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