| NPI | 1952769812 |
|---|---|
| Former Name | SAMANTHA CORREIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61169792) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 13804) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-02-14 |