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Individual
SAMANTHA VAN GORDER
Active
Individual
SAMANTHA VAN GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051719
NY
225100000X
Physical Therapist
070028001
IL
225100000X
Physical Therapist
305403
CA
225100000X
Physical Therapist
Primary
P22150
NC
225100000X
Physical Therapist
PT031946
PA
Other
Enumeration date
07/28/2016
Last updated
06/09/2026
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