| NPI | 1871252510 |
|---|---|
| Former Name | SAMANTHA KRISTEN RICARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4648) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2023-03-29 |