Petela, Samantha Marie

Petela, Samantha Marie is an individual health care provider with primary practice located at 9093 Ridgefield Dr Ste 102 , Frederick MD 21701-6711. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Petela, Samantha Marie can be contacted via phone (301) 846-4769.

Contact Information

Primary practice address
9093 Ridgefield Dr Ste 102 Frederick MD 21701-6711
Phone: (301) 846-4769
Fax: (301) 846-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 09814 Maryland

Profile Details

NPI number 1699486688
LBN Legal business name Petela, Samantha Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2022
Last updated Dec 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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