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Individual

SAMANTHA RATHJEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1727 IMPERIAL BLVD BLDG 3, LAKE CHARLES, LA 70605-5393
(337) 478-5880
(337) 478-5879
Mailing address
1727 IMPERIAL BLVD BLDG 3, LAKE CHARLES, LA 70605-5393
(337) 478-5880
(337) 478-5879

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10955
LA

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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