Individual
SAMANTHA BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5597 N DIXIE HWY, OAKLAND PARK, FL 33334-3406
(954) 958-4800
(954) 229-8681
Mailing address
1625 S FEDERAL HWY APT 205, POMPANO BEACH, FL 33062-7545
(630) 802-6635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
06/19/2019
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