Individual
MRS. ANITHA SIMON SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037359
NY
225100000X
Physical Therapist
Primary
PT40QA01043800
NJ
Other
Enumeration date
02/05/2014
Last updated
05/08/2017
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