Individual
SAMANTHA MARIE PHIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 ROTUNDA ST APT 303, LYNCHBURG, VA 24502-2076
(201) 577-1147
Mailing address
103 CAPITAL ST UNIT 208, LYNCHBURG, VA 24502-5160
(201) 577-1147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2022
Last updated
12/10/2023
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