| NPI | 1316509649 |
|---|---|
| Former Name | SAMANTHA LAUREN SWARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ LPT-011748) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ LPT-011748) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |