Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 9102 | AZ |
Y | 225100000X | Physical Therapist | 9102 | AZ |
N | 2251X0800X | Physical Therapist - Orthopedic | 9102 | AZ |
NPI | 1003101635 |
---|---|
Provider Name | Samantha Arrow |
First Address | Phoenix, AZ 85016-5036 |
Second Address | Phoenix, AZ 85016-3921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2011 |
Last Update Date | 24/03/2020 |