Individual
MICHAEL PARK SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11169 E I25 FRONTAGE RD STE C, FIRESTONE, CO 80504-5211
(720) 600-0370
Mailing address
11169 E I25 FRONTAGE RD STE C, FIRESTONE, CO 80504-5211
(720) 600-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18105
CO
Other
Enumeration date
12/23/2021
Last updated
10/12/2022
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