Vaal, Samantha Jae
Vaal, Samantha Jae is an individual health care provider with primary practice located at 900 N Westmoreland Rd , Lake Forest IL 60045-1674. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Vaal, Samantha Jae can be contacted via phone (630) 933-1500.Contact Information
Primary practice address
900 N Westmoreland Rd
Lake Forest IL 60045-1674
Phone: (630) 933-1500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160.009775 | Illinois |
Profile Details
NPI number | 1366142093 |
---|---|
LBN Legal business name | Vaal, Samantha Jae |
Credentials | DPT, PTA, RYT-200 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2023 |
Last updated | Mar 9th, 2023 - about last year |
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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