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Individual

KIARA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
12070 OLD LINE CTR STE 107, WALDORF, MD 20602-2503
(301) 374-6885
Mailing address
5830 GRANITE PKWY STE 800, PLANO, TX 75024-6775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30794
MD
2255A2300X
Athletic Trainer

Other

Enumeration date
01/17/2019
Last updated
03/16/2026
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