Individual
SAMANTHA DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
6600 STADIUM DR, PLANO, TX 75023-2210
(972) 971-6997
Mailing address
5956 KING WILLIAM DR, PLANO, TX 75093-4356
(972) 971-6997
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7460
TX
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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