Individual
SAMANTHA MARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1963
Mailing address
2001 SAWYER ST, CONWAY, SC 29527-5954
(843) 381-0764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5272
LICENSE #
SC
Enumeration date
10/10/2006
Last updated
07/08/2007
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