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Individual

ATWOOD RUSSELL SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1948 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 845-9053
(434) 528-2788
Mailing address
1948 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 845-9053
(434) 528-2788

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19086
FL
225100000X
Physical Therapist
Primary
2305207093
VA

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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