| NPI | 1265849988 |
|---|---|
| Former Name | SAMANTHA M. PICKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19369) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-08-24 |