Individual
SAMANTHA MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
805 W ACEQUIA AVE STE 1C, VISALIA, CA 93291-6163
(559) 625-3838
(559) 625-1309
Mailing address
3114 W CERES CT, VISALIA, CA 93291-8589
(559) 936-0573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000011845
SD
374700000X
Technician
—
—
Other
Enumeration date
08/07/2012
Last updated
06/28/2020
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