Individual
CAROLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N FEDERAL HWY STE 2, POMPANO BEACH, FL 33064-6519
(888) 880-9270
Mailing address
4520 PORTER AVE, SOUTH OGDEN, UT 84403-3833
(801) 644-4833
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/03/2013
Last updated
03/03/2013
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