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Individual
DR. SAMUEL JON HACKETT
Active
Individual
DR. SAMUEL JON HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12290
SC
225100000X
Physical Therapist
6218
OR
2251X0800X
Orthopedic Physical Therapist
PT-2773
ID
Other
Enumeration date
06/03/2010
Last updated
08/27/2024
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