Doctor Name: | SAMUEL LAVARIAS |
NPI Number: | 1023280187 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T.,D.P.T. |
License Number: | PT8641 |
Business Practice Address: | 829 Deltona Blvd Ste 204 Deltona, FL - 327257132 |
Business Phone Number: | 3862599838 |
Business Fax Number: | 3862599834 |
Mailing Address: | 829 Deltona Blvd Ste 204, DELTONA |
State: | FL |
Postal Code: | 327257132 |
Phone Number: | 3862599838 |
Fax Number: | 3862599834 |
NPI Enumeration Date: | 03/29/2008 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT8641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |