Organization
LASER FOCUS PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SAMUEL DC (HEAD CLINICIAN)
(954) 834-5252
Entity
Organization
Contact information
Practice address
3409 NW 9TH AVE STE 1104, OAKLAND PARK, FL 33309-5945
(954) 835-5252
(954) 533-3898
Mailing address
3409 NW 9TH AVE STE 1104, OAKLAND PARK, FL 33309-5945
(954) 835-5252
(954) 533-3898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16267
—
FL
Enumeration date
03/15/2021
Last updated
03/15/2021
Update your record
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