Individual
MR. JEREMIAH YANGA SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MSPT, OCS, COMT
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236
(210) 292-5040
Mailing address
11719 CAITLIN ASH, SAN ANTONIO, TX 78253-6280
(707) 704-1554
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
34537
CA
Other
Enumeration date
01/06/2006
Last updated
08/19/2019
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