Individual
LAURA ANN SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3039 OKATIE HIGHWAY, BLUFFTON, SC 29909
(843) 705-1093
Mailing address
123 PICKETT CREEK LN, BLUFFTON, SC 29909-7823
(843) 706-9097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2197
SC
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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