Individual
MRS. SAMANTHA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1051 FOURTH AVENUE, GALLIPOLIS, OH 45631
(855) 446-5937
(740) 446-5448
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004483
OH
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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