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VISHAL SAMUEL DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1396205142
Individual Registrant: VISHAL SAMUEL DPT
Gender: M
Not Sole Proprietor
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: --
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: --
Tel: 954-545-4922 Fax: --
Registration Information:
NPI: 1396205142
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT34398 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FLORIDA LICENSE | PT34398 | FL | 01 |
