| NPI | 1316315161 |
|---|---|
| Former Name | LEAH A. SAMUELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1266639) |
| 225100000X Physical Therapist (Licence: NM 4720) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-05-07 |