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Individual
SAMANTHA LEE DECENZO
Active
Individual
SAMANTHA LEE DECENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025256
PA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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