| NPI | 1083403091 |
|---|---|
| Former Name | SAMMANTHA CRYSTA BETTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 014535) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO CP033296A) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |