Individual
SAMANTHA RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1180 E LAKE MEAD PKWY, HENDERSON, NV 89015-5561
(702) 565-8555
Mailing address
6785 ARVILLE ST, LAS VEGAS, NV 89118-4301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0996
NV
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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