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Individual
MRS. SAMANTHA ALLISON STAHL
Active
Individual
MRS. SAMANTHA ALLISON STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0015681
CO
225100000X
Physical Therapist
PT007370
GA
2251P0200X
Pediatric Physical Therapist
PT007370
GA
2251S0007X
Sports Physical Therapist
PT007370
GA
2251X0800X
Orthopedic Physical Therapist
PT007370
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942356B
—
GA
01
—
10032935
AMERIGROUP
GA
01
—
317670
WELLCARE
GA
Enumeration date
11/28/2006
Last updated
09/15/2021
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