Individual
SAMANTHA KOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
234 WEST ST S UNIT 4, GRINNELL, IA 50112-8160
(641) 236-4506
(641) 236-4316
Mailing address
234 WEST ST S UNIT 4, GRINNELL, IA 50112-8160
(641) 236-4506
(641) 236-4316
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
087668
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087668
STATE LICENSE NUMBER
IA
Enumeration date
05/30/2017
Last updated
07/21/2022
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