Individual
ANNE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 STATELINE RD, NILES, MI 49120-4729
(269) 684-2810
Mailing address
4475 INTERNATIONAL CT, BERRIEN SPRINGS, MI 49103-2413
(269) 362-0714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018969
MI
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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