Provider Demographics
NPI:1275919433
Name:VIOLA KLEINHANZ, SAMANTHA CHRISTINE (DPT)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:CHRISTINE
Last Name:VIOLA KLEINHANZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RIVERSIDE BLVD APT 11H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0708
Mailing Address - Country:US
Mailing Address - Phone:914-384-1570
Mailing Address - Fax:
Practice Address - Street 1:84 COVENTRY LN
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4808
Practice Address - Country:US
Practice Address - Phone:914-384-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039278225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist