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Individual
MR. TOWNSLEY SMALLWOOD
Active
Individual
MR. TOWNSLEY SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160-004788
IL
225200000X
Physical Therapy Assistant
Primary
PTA22836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467771808
—
FL
Enumeration date
05/25/2010
Last updated
10/20/2011
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