SAMANTHA PREVOT

DES MOINES, WA
NPI1588054506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P1 60468295)
Enumeration Date2015-01-28
Last Update Date2015-01-28
Business Address
-- SAMANTHA PREVOT
27005 PACIFIC HWY S
DES MOINES, WA 98198-9250
Phone number: 253-839-9280
Mailing Address
-- SAMANTHA PREVOT
3323 90TH ST S
LAKEWOOD, WA 98499-9111
Phone number: 253-831-5648