Individual
SAMANTHA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 W BALTIMORE PIKE, MEDIA, PA 19063-5519
(610) 358-3440
Mailing address
301 RONALD ROAD, ASTON, PA 19014
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
OC013549
PA
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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