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Individual

MISS SAMANTHA ASHELY MINDALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5830 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3392
(866) 425-5768
Mailing address
157 ACADEMY ST, APT 3, JOHNSTOWN, PA 15906-1504
(814) 659-9258

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009715
PA

Other

Enumeration date
04/02/2014
Last updated
04/02/2014
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