Samantha Puckett, OTR/L
Occupational Therapist in Clemmons, NC. Individual provider (NPI-1).
NPI number1750108718
StatusActive
Last updated in NPPESSep 29, 2024
Details
- NPI
- 1750108718
- Entity type
- Individual (NPI-1)
- Name
- Samantha Puckett
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 29, 2024
- Last updated
- Sep 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 17091 | NC | Yes |
Practice location
6000 Meadowbrook Mall Ct Ste 22Clemmons, NC 27012-8775
Phone 336-778-0292
Mailing address
6000 Meadowbrook Mall Ct Ste 22Clemmons, NC 27012-8775
Phone 336-778-0292
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All 15 Occupational Therapist providers in Clemmons · All 646 providers in Clemmons
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