Individual
SCOTT SMOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
Mailing address
617 CRYSTAL SPRINGS DR, WINFIELD, WV 25213-8616
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
002422
WV
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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