| NPI | 1649814419 |
|---|---|
| Former Name | SAMANTHA JO VANDERPUTTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60939309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60939309) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2024-10-14 |