Individual
SAMANTHA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 E PIKES PEAK AVE # 80909, COLORADO SPRINGS, CO 80909-5619
(719) 630-3193
Mailing address
7315 COLONIAL CT, FOUNTAIN, CO 80817-1301
(530) 334-3867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
10/06/2023
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