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NPI Code Detail

MEDICARE: KATHARINE MARIE SAMPLES MS, OTR/L

MEDICARE:   KATHARINE MARIE SAMPLES  MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT13073FL
2225XP0200XPediatric Occupational TherapistOT13073FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134393002
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE MARIE SAMPLES MS, OTR/L
Provider Business Mailing Address
First Line : 5647 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4019
Country : US
Telephone Number : 727-645-6542
Fax Number :
Provider Business Practice Location Address
First Line : 5647 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4019
Country : US
Telephone Number : 727-645-6542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 05/13/2021

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Directions to “ KATHARINE MARIE SAMPLES MS, OTR/L” Practice Location

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