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Individual

SAMANTHA T PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 12TH ST NW, HICKORY, NC 28601-5933
(828) 228-4130
Mailing address
12 12TH ST NW, HICKORY, NC 28601-5933
(828) 228-4130

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5704
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA
NURSING HOME
NC
Enumeration date
07/15/2021
Last updated
07/15/2021
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