Samantha Lynn Boman, PT

NPI #1851830236 in Waterloo, Illinois

Provider Information

NPI Number
1851830236
Entity Type
Individual
Name
Samantha Lynn Boman, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Feb 17, 2017
Last Updated
Dec 11, 2019

Practice Location

Address
509 HAMACHER ST
Address 2
SUITE101
ZIP Code
62298-1592
Phone
(618) 939-5555

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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