Individual
SAMANTHA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-9000
Mailing address
603 18TH ST APT 9, SACRAMENTO, CA 95811-1746
(916) 710-2498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48928
CA
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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