| NPI | 1558659664 |
|---|---|
| Former Name | SHARON LYNN SAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4211) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010242) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-05-05 |