Individual
JOSE SAMANIEGO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTRP,RPT
Contact information
Practice address
4922 LA SALLE RD., HYATTSVILLE, MD 20782
(301) 864-2333
Mailing address
1711 HAMPSHIRE GREEN LANE, APT # 24, SILVER SPRING, MD 20903
(443) 763-1535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24950
MD
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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