| NPI | 1861918674 |
|---|---|
| Former Name | SAMANTHA DEALTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211423) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2024-05-23 |