| NPI | 1174000749 |
|---|---|
| Former Name | SAMANTHA BICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23787) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-07-14 |