Individual
SHERIDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1522 HAVENROCK DR, FORNEY, TX 75126-6261
(972) 854-4334
Mailing address
1522 HAVENROCK DR, FORNEY, TX 75126-6261
(972) 854-4334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2123715
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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