Individual
MR. CHAD RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9 MONTAUK HWY, UNIT A, BLUE POINT, NY 11715-1136
(631) 585-5915
(631) 585-5916
Mailing address
9 MONTAUK HWY, UNIT A, BLUE POINT, NY 11715-1136
(631) 585-5915
(631) 585-5916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022363
NY
Other
Enumeration date
08/10/2006
Last updated
10/15/2019
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