Jonathan Lee Samuelson, PT

NPI #1417312588 in Knightdale, North Carolina

Provider Information

NPI Number: 1417312588
Entity Type: Individual
Name: Jonathan Lee Samuelson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 16, 2015
Last Updated: Dec 16, 2015

Practice Location

Address: 162 LEGACY OAKS DR
Address 2: SUITE 2102
City: Knightdale
State: North Carolina
ZIP Code: 27545-6556
Phone: (919) 373-1799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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