Individual
SAMANTHA MICHELLE RUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SHINNECOCK AVE, MASSAPEQUA, NY 11758-6716
(516) 462-4353
Mailing address
7 SHINNECOCK AVE, MASSAPEQUA, NY 11758-6716
(516) 462-4353
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
049117
NY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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