Individual
MRS. SAMANTHA LYNN PANKAU THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
15300 BOWMANS FOLLY DR, MANASSAS, VA 20112-5450
(703) 583-8774
Mailing address
15694 BEACON CT, DUMFRIES, VA 22025-1830
(847) 894-1837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006733
VA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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