Individual
BEVERLY R. SAMSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9389 KREWSTOWN RD, NORTHEAST RAQUET CLUB, PHILADELPHIA, PA 19115-3710
(215) 676-6760
(215) 676-3746
Mailing address
9221 PINE RD, PHILADELPHIA, PA 19115-4418
(215) 698-2164
(215) 673-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001869L
PA
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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