Basic Information
Provider Information
NPI: 1689160871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNAO
FirstName: SAMANTHA
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: MS, OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 68 DAWN RD
Address2:  
City: LEVITTOWN
State: PA
PostalCode: 190561018
CountryCode: US
TelephoneNumber: 2674746459
FaxNumber:  
Practice Location
Address1: 1780 KENDARBREN DR
Address2:  
City: JAMISON
State: PA
PostalCode: 189291064
CountryCode: US
TelephoneNumber: 2154898760
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2018
LastUpdateDate: 07/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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