Samantha San Juan

NPI #1063825040 in Hyattsville, Maryland

Provider Information

NPI Number: 1063825040
Entity Type: Individual
Name: Samantha San Juan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 6, 2014
Last Updated: Jun 6, 2014

Practice Location

Address: 4922 LASALLE RD
City: Hyattsville
State: Maryland
ZIP Code: 20782-3302
Phone: (301) 864-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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