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1386236487
SAMANTHA WHITESIDE
TARZANA, CA
NPI
1386236487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299869)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
SAMANTHA WHITESIDE DPT
19510 VENTURA BLVD STE 106
TARZANA, CA 91356-2974
Phone number: 818-996-1725
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Mailing Address
SAMANTHA WHITESIDE DPT
19557 CRYSTAL RIDGE LN
PORTER RANCH, CA 91326-3816
Phone number:
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