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NPI Code Detail

MEDICARE: SAMANTHA MIGUELINO

MEDICARE: SAMANTHA MIGUELINO
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 Therapist

General Provider Information

NPI Number : 1588323943
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MIGUELINO
Provider Business Mailing Address
First Line : 3680 INDIAN QUEEN LN
Second Line : UNIT 2
City : PHILADELPHIA
State : PA
Zip : 19129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2004 OLD ARCH RD
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-2008
Country : US
Telephone Number : 610-277-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 12/14/2021

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Directions to “ SAMANTHA MIGUELINO ” Practice Location

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