Individual
SAMANTHA MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., M.S.ED.
Contact information
Practice address
133 HENDERSON CHURCH ROAD, PINEVILLE, KY 40977-9134
(606) 347-2398
(606) 337-8232
Mailing address
PO BOX 337, FRAKES, KY 40940-0337
(606) 347-2398
(606) 337-8232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00001776
KY
Other
Enumeration date
12/08/2008
Last updated
05/16/2012
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