Individual
SAMANTHA LYNN HAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHS, ATC, LAT
Contact information
Practice address
2N150 DIANE AVE, GLEN ELLYN, IL 60137-3138
(630) 297-1120
Mailing address
2N150 DIANE AVE, GLEN ELLYN, IL 60137-3138
(630) 297-1120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7197
TX
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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