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NPI Code Detail

MEDICARE: SAMANTHA XIAOHAN ROBERTO

MEDICARE:   SAMANTHA XIAOHAN ROBERTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1104753300
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA XIAOHAN ROBERTO
Provider Business Mailing Address
First Line : 1850 COLLEGEVILLE RD STE 106
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-3976
Country : US
Telephone Number : 610-454-0780
Fax Number :
Provider Business Practice Location Address
First Line : 1850 COLLEGEVILLE RD STE 106
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-3976
Country : US
Telephone Number : 610-454-0780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ SAMANTHA XIAOHAN ROBERTO ” Practice Location

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