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Individual

SAMANTHA O GAMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8110 CAMP CREEK RD STE 106, OLIVE BRANCH, MS 38654-1622
(662) 893-1933
(662) 893-1934
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MS

Other

Enumeration date
06/16/2020
Last updated
08/23/2023
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