Smith, Samantha

Smith, Samantha is an individual health care provider with primary practice located at 4507 Buggy Ln , Jefferson City MO 65109-0288. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Smith, Samantha can be contacted via phone (417) 689-2323.

Contact Information

Primary practice address
4507 Buggy Ln Jefferson City MO 65109-0288
Phone: (417) 689-2323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2015021538 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A1749 Arkansas

Profile Details

NPI number 1083329346
LBN Legal business name Smith, Samantha
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2023
Last updated Jan 20th, 2023 - about 3 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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