Individual
SAMANTHA HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 CALLE DEL VALLE, RIO COMMUNITIES, NM 87002-7100
(505) 916-6664
Mailing address
1110 CALLE DEL VALLE, RIO COMMUNITIES, NM 87002-7100
(505) 916-6664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1702
NM
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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