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SAMANTHA R WUNDERLICH CTRS CBIS CZT NPI 1710245683


NPI Information

NPI: 1710245683
Provider Name: SAMANTHA R WUNDERLICH, CTRS, CBIS, CZT
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
293 LEROY ST
FERNDALE, MI
ZIP 48220
Phone: (248) 629-0002
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Samantha R Wunderlich, CTRS, CBIS, CZT is a recreation therapist in Ferndale, MI. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Samantha R Wunderlich, CTRS, CBIS, CZT NPI is 1710245683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

293 LEROY ST
FERNDALE, MI
ZIP 48220-890
Phone: (248) 629-0002
Fax: (248) 808-6311

The enumeration date for this NPI number is 4/30/2012 and was last updated on 2/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225800000XRecreation Therapist60142MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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