Individual
JENNY SAMPRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6001 MONTROSE RD, ROCKVILLE, MD 20852-4817
(301) 984-6594
Mailing address
1119 W 17TH ST APT 3F, CHICAGO, IL 60608-2452
(847) 431-1810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29162
MD
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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