MISS Samantha Stafford, DPT

NPI #1275276701 in Champaign, Illinois

Provider Information

NPI Number: 1275276701
Entity Type: Individual
Name: MISS Samantha Stafford, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 13, 2022
Last Updated: Apr 13, 2022

Practice Location

Address: 1907 W SPRINGFIELD AVE STE B
City: Champaign
State: Illinois
ZIP Code: 61821-3098
Phone: (217) 898-8393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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