Provider Demographics
NPI:1396451407
Name:ADAMS, SAMANTHA MARY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:MARY
Last Name:ADAMS
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:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:CHINLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86503-1126
Mailing Address - Country:US
Mailing Address - Phone:717-487-9033
Mailing Address - Fax:
Practice Address - Street 1:CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Practice Address - Street 2:HIGHWAY 191 & HOSPITAL DRIVE
Practice Address - City:CHINLE
Practice Address - State:AZ
Practice Address - Zip Code:86503
Practice Address - Country:US
Practice Address - Phone:717-487-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT024713225100000X
NJ40QA01861600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist