Individual
CAROL SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
5741 CONSTANTINE DR, ROCKVALE, TN 37153-4466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2332
CA
225200000X
Physical Therapy Assistant
423367
TN
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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