Individual
SAMANTHA LORAINE HIRZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 CORINNE AVE, IDAHO FALLS, ID 83402-1751
(509) 855-3110
Mailing address
1355 CORINNE AVE, IDAHO FALLS, ID 83402-1751
(509) 855-3110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-7123
ID
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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