Individual
MS. CARMEN LATONYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1536 APPLING CARE LN, CORDOVA, TN 38016-4927
(901) 385-1803
Mailing address
8148 COUNTRY MILL CV, CORDOVA, TN 38016-0508
(901) 624-6050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7011
TN
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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