Individual
MRS. SAMANTHA VALLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
18111 CUMBERLAND RD, NOBLESVILLE, IN 46060-5650
(317) 776-6266
Mailing address
2402 N KENWOOD AVE, INDIANAPOLIS, IN 46208-5726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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