| NPI | 1265702864 |
|---|---|
| Former Name | SAMANTHA WIECHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018996) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-12-11 |