| NPI | 1225487077 |
|---|---|
| Former Name | SAMANTHA SCHOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038906) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 005257) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2024-03-07 |