Individual
SAMANTHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Mailing address
167 HUNTERS MILL DR, WEST COLUMBIA, SC 29170-1272
(803) 201-3773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4252
SC
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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