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1285042382
SAMANTHA J. KOLOCK
AUSTIN, TX
NPI
1285042382
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Former Name
SAMANTHA FONTAINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1311330)
Enumeration Date
2014-08-01
Last Update Date
2022-06-14
Business Address
SAMANTHA J. KOLOCK PT, DPT
900 W 38TH ST STE 300
AUSTIN, TX 78705-1130
Phone number: 512-450-1300
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Mailing Address
SAMANTHA J. KOLOCK PT, DPT
11240 WAPLES MILL RD SUITE 403
FAIRFAX, VA 22030-6078
Phone number: 703-383-6454
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