Doctor Name: | SAMANTHA LUPASCU |
NPI Number: | 1003101635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 9102 |
Business Practice Address: | 7540 N 19th Ave Ste 101 Phoenix, AZ - 850217967 |
Business Phone Number: | 6022499129 |
Business Fax Number: | 6022494115 |
Mailing Address: | 7540 N 19th Ave, Ste 101 PHOENIX |
State: | AZ |
Postal Code: | 850217967 |
Phone Number: | 6022499129 |
Fax Number: | 6022494115 |
NPI Enumeration Date: | 06/11/2011 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 9102 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |