Individual
SAMANTHA LACEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6850 US HIGHWAY 90 STE A-04, DAPHNE, AL 36526-9530
(251) 210-2901
(251) 210-2902
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9656
AL
Other
Enumeration date
12/12/2019
Last updated
09/22/2020
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