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Samantha Clark-Teague, O.T.A

NPI 1396161766 · on the registry since 2014

Practice

Address
5902 Hinsdale Ln
Fort Wayne, IN 46835
Phone
(260) 494-7854

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana