Individual
SAMANTHA SCHIELLERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7001 BRYANT IRVIN RD, FORT WORTH, TX 76132-4243
(817) 756-1796
Mailing address
508 ROARING SPRINGS DR, JOSHUA, TX 76058-3424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090468
TX
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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