Individual
SAMANTHA MARIE ZAWISTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Mailing address
2987 W DREXEL AVE UNIT 311, FRANKLIN, WI 53132-7009
(262) 744-9265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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