Individual
SAMANTHA SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
609 CAROLYN RD, HARRISON, MI 48625-8616
(989) 339-0438
Mailing address
609 CAROLYN RD, HARRISON, MI 48625-8616
(989) 339-0438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5502003871
MI
225200000X
Physical Therapy Assistant
Primary
5502003871
MI
225200000X
Physical Therapy Assistant
5502003871
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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