Individual
SAMANTHA EDWARDS HOMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 420-5431
Mailing address
1302 PINEHURST DR, DEFIANCE, OH 43512-8669
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT017092
OH
Other
Enumeration date
09/06/2017
Last updated
08/23/2021
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