Individual
SAMANTHA ANN WEARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 COLLEGE AVE, JACKSON, AL 36545-2425
(251) 246-5761
(251) 246-5665
Mailing address
1711 COLLEGE AVE, JACKSON, AL 36545-2425
(251) 246-5761
(251) 246-5665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11511
AL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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