Provider Demographics
NPI:1548752108
Name:KAUFMAN, SAMANTHA LEA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:LEA
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10544 BRIGADE CT
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-7548
Mailing Address - Country:US
Mailing Address - Phone:513-207-3500
Mailing Address - Fax:
Practice Address - Street 1:10544 BRIGADE CT
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-7548
Practice Address - Country:US
Practice Address - Phone:513-207-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY241908225X00000X
OH.007931225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist