Individual
MRS. LESLIE JOYCE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1601 SW ARCHER RD, HBPC 11I, GAINESVILLE, FL 32608-1135
(253) 376-1611
(352) 379-4055
Mailing address
6415 NW 56TH LN, GAINESVILLE, FL 32653-3114
(352) 376-1611
(352) 379-4055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT866
FL
225X00000X
Occupational Therapist
Primary
OT0866
FL
Other
Enumeration date
07/31/2006
Last updated
06/04/2013
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