| NPI | 1891208211 |
|---|---|
| Former Name | SAMANTHA ANN MUNTEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293749) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-10-18 |