Stafford, Samantha

Stafford, Samantha is an individual health care provider with primary practice located at 1907 W Springfield Ave Ste B , Champaign IL 61821-3098. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stafford, Samantha can be contacted via phone (217) 898-8393.

Contact Information

Primary practice address
1907 W Springfield Ave Ste B Champaign IL 61821-3098
Phone: (217) 898-8393
Fax: (217) 633-4553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070020658 Illinois

Profile Details

NPI number 1275276701
LBN Legal business name Stafford, Samantha
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2022
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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