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Individual
DR. SAMUEL F WALSTRUM
Active
Individual
DR. SAMUEL F WALSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28560
MD
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/09/2017
Last updated
08/04/2021
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