Individual
SAMANTHA MEI-YING FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11808 GRANT ST FL 100, OMAHA, NE 68164-3616
(877) 230-3885
Mailing address
11808 GRANT ST FL 100, OMAHA, NE 68164-3616
(877) 230-3885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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