Doctor Name: | MRS. STACY ALICE SAMANO |
NPI Number: | 1154462794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 18221 |
Business Practice Address: | 8115 E Indian Bend Rd Suite 123 Scottsdale, AZ - 852504819 |
Business Phone Number: | 4809516451 |
Business Fax Number: | |
Mailing Address: | 922 E Powell Way, CHANDLER |
State: | AZ |
Postal Code: | 852493018 |
Phone Number: | 4804595112 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 18221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |