Leslie Joyce Samuelson OTR

NPI 1770599763 - Specialist - 174400000X

NPI Details
NPI 1770599763
Gender Female
Enumeration Date 07/31/2006
Last Updated 06/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1601 SW ARCHER RD
HBPC 11I
GAINESVILLE FL, 32608-1135, US
Phone (253) 376-1611
Fax (352) 379-4055
Business Location
6415 NW 56TH LN
GAINESVILLE FL, 32653-3114, US
Phone (352) 376-1611
Fax (352) 379-4055
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number OT866
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According to our database, Mrs. Leslie Joyce Samuelson OTR NPI is 1770599763, taxonomy code is 174400000X and license number is OT866, license state is located at Florida. Leslie Joyce Samuelson OTR physically located at 1601 Sw Archer Rd, Gainesville FL, 32608-1135. NPI Number Leslie Joyce Samuelson OTR has the Individual type.

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1770599763 NPI number is provided on an as is basis without warranty of any kind. 1770599763 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Joyce Samuelson OTR are for informational purposes only.