| Doctor Name: | MISS SAMANTHA ANN SHADWELL |
| NPI Number: | 1992965248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | |
| Business Practice Address: | 1 Park West Cir Suite 108 Midlothian, VA - 231145551 |
| Business Phone Number: | 8009699265 |
| Business Fax Number: | |
| Mailing Address: | 121 Brookland Ct Apt 6, WINCHESTER |
| State: | VA |
| Postal Code: | 226026188 |
| Phone Number: | 5406620771 |
| Fax Number: | 5406620774 |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |