Individual
CHANEL MONE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 76104-3377
(817) 921-5020
Mailing address
5220 SPRING VALLEY RD STE 300, DALLAS, TX 75254-1944
(469) 291-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1394401
TX
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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