Samantha Leann Birmingham

NPI #1750030805 in Bourbon, Missouri

Provider Information

NPI Number: 1750030805
Entity Type: Individual
Name: Samantha Leann Birmingham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 23, 2022
Last Updated: Mar 23, 2022

Practice Location

Address: 556 JOHNSON ST
City: Bourbon
State: Missouri
ZIP Code: 65441-8123
Phone: (660) 227-9140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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