Samantha Basham

NPI #1619485497 in Defiance, Ohio

Provider Information

NPI Number
1619485497
Entity Type
Individual
Name
Samantha Basham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jan 16, 2018
Last Updated
Jan 16, 2018

Practice Location

Address
200 CLINTON ST STE B
State
Ohio
ZIP Code
43512-0016
Phone
(419) 565-9749

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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