Healthcare Provider Details

I. General information

NPI: 1750254082
Provider Name (Legal Business Name): SAMANTHA HEPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CLERMONT CENTER DR
BATAVIA OH
45103-1990
US

IV. Provider business mailing address

2400 CLERMONT CENTER DR
BATAVIA OH
45103-1990
US

V. Phone/Fax

Practice location:
  • Phone: 513-735-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013459
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: