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Individual

MRS. SAMANTHA RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1890 W COUNTY ROAD 419 STE 1000, OVIEDO, FL 32765-4402
(407) 542-0899
Mailing address
3607 HEIRLOOM ROSE PL, OVIEDO, FL 32766-6718
(407) 446-0065

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31224
FL

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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