Individual
SAMANTHA NICHOLE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
629 RISING SUN AVE, HOLLAND, PA 18966-2178
(732) 395-3493
Mailing address
629 RISING SUN AVE, HOLLAND, PA 18966-2178
(732) 395-3493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008450
PA
Other
Enumeration date
09/01/2022
Last updated
07/26/2024
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