Provider Demographics
NPI:1770039729
Name:BELL, SAMANTHA ASHLEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ASHLEY
Last Name:BELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9081
Mailing Address - Country:US
Mailing Address - Phone:973-927-3034
Mailing Address - Fax:
Practice Address - Street 1:272 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9081
Practice Address - Country:US
Practice Address - Phone:973-927-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01677500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist