Individual
ELIZABETH JANE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6365 WINCHESTER BLVD, CANAL WINCHESTER, OH 43110-2069
(614) 355-8990
(614) 355-8995
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT016420
OH
2251P0200X
Pediatric Physical Therapist
Primary
PT016420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035449
—
OH
Enumeration date
12/18/2018
Last updated
04/10/2025
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