Individual
LAURA ASHLEY SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4720 PUDDLEDOCK RD STE 130, PRINCE GEORGE, VA 23875-1275
(804) 520-7779
(866) 463-3047
Mailing address
107 YORKTOWN DR, RUTHER GLEN, VA 22546-5159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214611
VA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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