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Contact Information

SAMANTHA L BURDETTE
1831 WILLIS BRANCH RD
VICTOR, WV25938-7755
 Phone: 304-541-7041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA L BURDETTE · (Female)

NPI Number 1043157993
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2026
Last updated 04/29/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • WV License # C2432
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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