SOCHEATHDARA SAM

Physical Therapy Assistant

Active Individual
NPI: 1063166692

Practice Address

4040 FAIRFAX DR STE 120
Arlington, VA 22203

Phone: (571) 777-0918

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2306606194 (VA)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1063166692 is the National Provider Identifier for SOCHEATHDARA SAM, a Physical Therapy Assistant provider located in Arlington, VA. This NPI was enumerated on February 11, 2022.
SOCHEATHDARA SAM practices at 4040 FAIRFAX DR STE 120, Arlington, VA 22203.

Quick Facts

NPI
1063166692
Type
Individual
Enumerated
Feb 11, 2022
Last Updated
Dec 27, 2023

Nearby Providers