Individual
DIANE SAMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
18001 OLD CUTLER RD, SUITE 354, VILLAGE OF PALMETTO BAY, FL 33157-6416
(305) 251-7477
(305) 251-7475
Mailing address
18001 OLD CUTLER RD, SUITE 354, VILLAGE OF PALMETTO BAY, FL 33157-6416
(305) 251-7477
(305) 251-7475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA12195
FL
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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