Individual
MRS. NICOLE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S 11TH ST, KALAMAZOO, MI 49009-1775
(269) 375-2020
Mailing address
1701 S 11TH ST, KALAMAZOO, MI 49009-1775
(269) 375-2020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003863
MI
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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