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NPI Code Detail

MEDICARE: SAMANTHA MAFFUCCI OT

MEDICARE: SAMANTHA MAFFUCCI OT
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 TherapistOT25046FL

General Provider Information

NPI Number : 1831956408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MAFFUCCI OT
Provider Business Mailing Address
First Line : 3127 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32124-1070
Country : US
Telephone Number : 386-258-9502
Fax Number : 386-239-9781
Provider Business Practice Location Address
First Line : 3127 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32124-1070
Country : US
Telephone Number : 386-258-9502
Fax Number : 386-239-9781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2024
Last Update Date : 02/29/2024

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Directions to “ SAMANTHA MAFFUCCI OT” Practice Location

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