Individual
SAMANTHA STARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 AVERY ST, TUNKHANNOCK, PA 18657-1001
(303) 759-4221
Mailing address
15 AVERY ST, TUNKHANNOCK, PA 18657-1001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE011509
PA
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
03/18/2019
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