Samples, Katharine Marie
Samples, Katharine Marie is an sole proprietor health care provider with primary practice located at 5647 Gulf Dr , New Port Richey FL 34652-4019. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Samples, Katharine Marie can be contacted via phone (727) 645-6542.Contact Information
Primary practice address
5647 Gulf Dr
New Port Richey FL 34652-4019
Phone: (727) 645-6542
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT13073 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT13073 | Florida |
Profile Details
NPI number | 1134393002 |
---|---|
LBN Legal business name | Samples, Katharine Marie |
Credentials | MS, OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 22nd, 2008 |
Last updated | May 13th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134393002 | NPPES |
Florida | MEDICAID | 892810000 |
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