Individual
MS. SAMANTHA LEIGH TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 ALLAWOOD CT STE 110, SIMPSONVILLE, SC 29681-6207
(864) 525-2654
(864) 757-8811
Mailing address
1601 RONALD ST, CHARLOTTE, NC 28216-2637
(704) 995-0407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6777
SC
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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