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Individual
SAMANTHA E. DAVIS
Active
Individual
SAMANTHA E. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366739583
—
VA
01
—
192931
BCBS (PHYSICAL THERAPY)
VA
01
—
9054750
AETNA
VA
01
—
P01127679
MEDICARE RAILROAD
VA
Enumeration date
07/08/2011
Last updated
04/16/2018
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