Individual
SAMANTHA GENE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1227 E 32ND ST STE 7, JOPLIN, MO 64804-2904
(417) 624-7400
(417) 624-7403
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022028528
MO
225200000X
Physical Therapy Assistant
14-03954
KS
Other
Enumeration date
06/09/2022
Last updated
07/26/2022
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