Individual
CAROL LEE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4315 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
825
AK
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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