NPI 1104097559

Samantha Lane, COTA

Practitioner Occupational Therapy Assistant Roanoke, VA

Practice location

Address: 3503 Wedgewood Rd SW, Roanoke, VA 24015-4437
Phone: (540) 400-0359

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131000829 (VA)

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Registry record

NPI: 1104097559
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2008
Record last updated: 2 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.