SAMANTHA STAFFORD

CHAMPAIGN, IL
NPI1275276701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070020658)
Enumeration Date2022-04-13
Last Update Date2022-04-13
Business Address
Miss SAMANTHA STAFFORD DPT
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821-3098
Phone number: 217-898-8393
Mailing Address
Miss SAMANTHA STAFFORD DPT
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821-3098
Phone number: 217-898-8393
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