Individual
MS. SAMANTHA BLAIR EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5417 WESLEYAN DR, VIRGINIA BEACH, VA 23455-6922
(757) 490-0736
Mailing address
5417 WESLEYAN DR, VIRGINIA BEACH, VA 23455-6922
(757) 490-0736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603308
VA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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