Individual
SAMANTHA BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-1234
Mailing address
5709 DANBURY DR, SOUTH BEND, IN 46614-6047
(574) 303-4506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002900A
IN
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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