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NPI Code Detail

MEDICARE: LAURA C SAMPERS OTR/L

MEDICARE:   LAURA C SAMPERS  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 Therapist104408MN

General Provider Information

NPI Number : 1336582691
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA C SAMPERS OTR/L
Provider Business Mailing Address
First Line : 4200 DAHLBERG DR STE 300
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4841
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 5601 96TH AVE N STE 100
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-4505
Country : US
Telephone Number : 763-786-9543
Fax Number : 763-786-3320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 05/11/2022

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Directions to “ LAURA C SAMPERS OTR/L” Practice Location

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