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NPI Code Detail

MEDICARE: SAMANTHA QUINN TARNOWSKI PT, DPT

MEDICARE: SAMANTHA QUINN TARNOWSKI PT, DPT
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 TherapistCP049797TTX
2225100000XPhysical TherapistCP046569TSC
3225100000XPhysical Therapist034658AZ

General Provider Information

NPI Number : 1124919949
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA QUINN TARNOWSKI PT, DPT
Provider Business Mailing Address
First Line : 655 S WILLOW ST STE 128
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-5723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-462-0248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2025
Last Update Date : 02/24/2026

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