Individual
SAMANTHA MARIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
Mailing address
13377 NW COUNTY ROAD 2001, ADRIAN, MO 64720-5099
(816) 507-0276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018027220
MO
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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