Organization
SAMS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITH SAMSON PT, DPT (OWNER)
(517) 589-9050
Entity
Organization
Contact information
Practice address
148 S. MAIN ST., LESLIE, MI 49251-9426
(517) 589-9050
(517) 589-9053
Mailing address
P.O. BOX 158, LESLIE, MI 49251-0158
(517) 589-9050
(517) 589-9059
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501012063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650C811890
BLUE CROSS
MI
Enumeration date
06/22/2009
Last updated
10/15/2012
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