| NPI | 1679649008 |
|---|---|
| Former Name | SAMANTHA ALLISON STAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0015681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007370) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT007370) | |
| 2251S0007X Physical Therapist, Sports (Licence: GA PT007370) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT007370) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-09-15 |