Individual
MRS. SAMANTHA LYNN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10474 MATHER BLVD, MATHER, CA 95655-4116
(310) 428-8143
Mailing address
10474 MATHER BLVD, MATHER, CA 95655-4116
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
42313
CA
Other
Enumeration date
10/05/2021
Last updated
10/07/2021
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