Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DENNIS ALAN SAMPLE, PTA
Active Sole ProprietorMR. DENNIS ALAN SAMPLE, PTA is a Occupational Therapist healthcare provider located in JONESBORO, Indiana. NPI 1467679449 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · JONESBORO, IN
Registration Details
- NPI Number
- 1467679449
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.28896081276 yrs)
- Last Updated
- Jul 8, 2007
- License
-
06002277A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
321 E 11TH STJONESBORO, IN, 469381618Browse IN providers · Browse ZIP 46938
- Phone
- 7656188047
- Fax
- 7656749491
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.