Individual
MS. SAMANTHA NICHOLE ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7616
Mailing address
205 GLEN ECHO DR, NORFOLK, VA 23505-4117
(757) 314-7666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602749
VA
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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