Individual
SAMANTHA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13809 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 932-7111
Mailing address
13809 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 932-7111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4090
NE
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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