Individual
SAMANTHA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 COLUMBIA AVE, MUNSTER, IN 46321-4041
(219) 934-0750
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(865) 210-8374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006719A
IN
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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