MIRANDA WHITLEY SAMSON
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1205475670- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1325 DRY CREEK DR STE 204, LONGMONT, CO, 805037748
- Phone
- (303) 938-1141
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: CO #PTL.0016778