NPI 1003144460

Samantha Nichole Robert, LPTA

Practitioner Physical Therapy Assistant Fort Eustis, VA

Practice location

Address: 576 Jefferson Ave McDonald Army Health Center, Fort Eustis, VA 23604-5548
Phone: (757) 314-7616
Mailing address: 205 Glen Echo Dr, Norfolk, VA 23505-4117

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306602749 (VA)

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Registry record

NPI: 1003144460
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2009
Record last updated: 24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.