Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC015193 | PA |
N | 225XH1200X | Occupational Therapist - Hand | OC015193 | PA |
NPI | 1144738980 |
---|---|
Provider Name | Samantha M Kampmeier |
First Address | King Of Prussia, PA 19406-4207 |
Second Address | King Of Prussia, PA 19406-4207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2018 |
Last Update Date | 15/01/2018 |