Individual
ASHLEY SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CONCORD LAKE RD, KANNAPOLIS, NC 28083-6434
(704) 933-3781
Mailing address
11534 WARFIELD AVE, HUNTERSVILLE, NC 28078-5470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2059
NC
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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