Samantha Faye Colella

Individual provider Active NPI Occupational Therapy Assistant · Athens, AL

NPI 1386898161 · NPPES record last updated Nov 6, 2008

Key facts

NPI
1386898161
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2972 (AL)
Practice address
18344 Rocky Hill LN
Athens, AL 35613-5643
Phone
(256) 431-1357
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2972ALMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2972 AL Yes

Addresses

Primary practice location

18344 Rocky Hill LN
Athens, AL 35613-5643

Mailing address

18344 Rocky Hill LN
Athens, AL 35613-5643

Other providers in Athens, AL

All providers in Athens, AL · Occupational Therapy Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.