Individual
LINDA WAYMENT SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4624 SOUTH HOLLADAY BLVD, SALT LAKE CITY, UT 84117
(801) 277-1028
(801) 277-5987
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2780432401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4963
—
UT
Enumeration date
11/20/2006
Last updated
07/08/2007
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