Samantha Sue Joley

NPI #1356808687 in Fort Wayne, Indiana

Provider Information

NPI Number: 1356808687
Entity Type: Individual
Name: Samantha Sue Joley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 22, 2019
Last Updated: Feb 22, 2019

Practice Location

Address: 9426 LIMA RD STE A
City: Fort Wayne
State: Indiana
ZIP Code: 46818-8681
Phone: (260) 413-3235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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