Provider Demographics
NPI:1821291600
Name:STRICKLAND, SAMANTHA NICOLE (PT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:NICOLE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2327
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-8327
Mailing Address - Country:US
Mailing Address - Phone:301-997-1155
Mailing Address - Fax:301-997-1199
Practice Address - Street 1:40900 MERCHANTS LN
Practice Address - Street 2:SUITE 202
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3700
Practice Address - Country:US
Practice Address - Phone:301-997-1155
Practice Address - Fax:301-997-1199
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8638OtherBLUECROSS BLUESHIELD
715549OtherACN GROUP
86VCSNOtherCAREFIRST OF MD
MD421740759OtherTRICARE
8638OtherBLUECROSS BLUESHIELD