Individual
SAMANTHA FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9681
Mailing address
12258 PERRY ST, CROWN POINT, IN 46307-7047
(219) 510-3278
(219) 983-9681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
99037822A
IN
Other
Enumeration date
06/04/2009
Last updated
07/24/2015
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