| NPI | 1639622582 |
|---|---|
| Former Name | SAMANTHA L. BRUGGEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 004094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210468) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-04-09 |