MRS. Samantha Jae Vaal, DPT, PTA, RYT-200
NPI #1366142093 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1366142093
- Entity Type
- Individual
- Name
- MRS. Samantha Jae Vaal, DPT, PTA, RYT-200
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- DPT, PTA, RYT-200
- Enumeration Date
- Mar 9, 2023
- Last Updated
- Mar 9, 2023
Practice Location
- Address
- 900 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1674
- Phone
- (630) 933-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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