Provider Demographics
NPI:1205208188
Name:SAMSA, YULIYA (OT)
Entity Type:Individual
Prefix:MRS
First Name:YULIYA
Middle Name:
Last Name:SAMSA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:MIKINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:33005 ROCKFORD DRIVE
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1928
Mailing Address - Country:US
Mailing Address - Phone:216-403-3155
Mailing Address - Fax:
Practice Address - Street 1:20265 EMERY RD
Practice Address - Street 2:
Practice Address - City:NORTH RANDALL
Practice Address - State:OH
Practice Address - Zip Code:44128-4122
Practice Address - Country:US
Practice Address - Phone:216-584-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008391174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist