Healthcare Provider Details

I. General information

NPI: 1326611351
Provider Name (Legal Business Name): SAMANTHA JANE STEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA JANE FOUCAR

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 KATE BOND RD
BARTLETT TN
38133-4004
US

IV. Provider business mailing address

18820 STATESVILLE RD
CORNELIUS NC
28031-6754
US

V. Phone/Fax

Practice location:
  • Phone: 901-937-3200
  • Fax: 901-383-1738
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number14916
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6949
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: