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Samantha Vanderburg, PTA
NPI 1316513583 · on the registry since 2021
Practice
- Address
- 204 S Sweet Gum Pl
Broken Arrow, OK 74012 - Phone
- (918) 284-4220
- Fax
- (918) 249-2817
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma