Individual
MRS. SAMANTHA RAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
11 COMMERCE DR, GATESVILLE, NC 27938-9551
(252) 357-1379
Mailing address
11 COMMERCE DR, GATESVILLE, NC 27938-9551
(252) 357-1379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2300665501
VA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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