Individual
CHRISTY SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
446 SONORA AVE, HALF MOON BAY, CA 94019-4424
(650) 560-0108
Mailing address
446 SONORA AVE, HALF MOON BAY, CA 94019-4424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25631
CA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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