| NPI | 1699032912 |
|---|---|
| Former Name | SAMANTHA JO GABARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018059) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 000882) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-07-21 |