Individual
SAMANTHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3154
(702) 998-0551
Mailing address
3620 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3154
(702) 998-0551
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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