Samantha Blake Heidenreich
ExpiredCalifornia license 16719
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 16719
- Status
- Expired (Delinquent)
- First issued
- October 7, 2016
- Expired
- October 31, 2023
- License holder
- Samantha Blake Heidenreich
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
235 Castaway Key Dr
Pawleys Island, SC 29585-6689
Pawleys Island, SC 29585-6689
Georgetown County