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Individual
MICHAEL PARK SAMELSON
Active
Individual
MICHAEL PARK SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18105
CO
Other
Enumeration date
12/23/2021
Last updated
10/12/2022
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