Individual
SAMANTHA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1746 IRONWOOD DR, IDAHO FALLS, ID 83402-5552
(208) 351-3920
Mailing address
1746 IRONWOOD DR, IDAHO FALLS, ID 83402-5552
(208) 351-3920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2773
ID
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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