Individual
SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NEW PORTLAND RD, GORHAM, ME 04038-1542
(207) 839-5757
Mailing address
50 NEW PORTLAND RD, GORHAM, ME 04038-1542
(207) 839-5757
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PA3839
ME
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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