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VISHAL SAMUEL DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1396205142

Individual Registrant:
 VISHAL  SAMUEL DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4747 N OCEAN DR STE 261  LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 954-545-4922  Fax: --

Contact information for business:
4737 N OCEAN DR STE 201  LAUDERDALE BY THE SEA, FL 33308-2920 US
Tel: 954-545-4922  Fax: --

Registration Information:
NPI: 1396205142
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT34398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
FLORIDA LICENSEPT34398FL01




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