Individual
SAMANTHA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LAT
Contact information
Practice address
5012 CALMONT AVE, #100, FORT WORTH, TX 76107-5237
(832) 865-3853
Mailing address
5012 CALMONT AVE, #100, FORT WORTH, TX 76107-5237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3496
TX
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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