Individual
SAMANTHA TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2801 OLD WILLIAMSBURG RD APT 3I, YORKTOWN, VA 23690-3806
(410) 845-8917
Mailing address
2801 OLD WILLIAMSBURG RD APT 3I, YORKTOWN, VA 23690-3806
(410) 845-8917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605665
VA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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