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SAMANTHA CUBBLER
Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1831780030
Individual Registrant: SAMANTHA CUBBLER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1130 SENOIA RD STE A1 TYRONE, GA 30290-1640 US
Tel: 678-632-6765 Fax: 678-550-7931
Tel: 678-632-6765 Fax: 678-550-7931
Contact information for business:
1130 SENOIA RD STE A1 TYRONE, GA 30290-1640 US
Tel: 678-632-6765 Fax: 678-550-7931
Tel: 678-632-6765 Fax: 678-550-7931
Registration Information:
NPI: 1831780030
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics | GA | OT007974 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
