Individual
SAMANTHA KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
633 VIRGINIA AVE, ERIE, PA 16505-4611
(814) 823-3025
Mailing address
633 VIRGINIA AVE, ERIE, PA 16505-4611
(814) 823-3025
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RT005092
PA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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