Individual
SUSAN DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, NCMT
Contact information
Practice address
1262 BERGEN PKWY UNIT E10, EVERGREEN, CO 80439-9546
(303) 674-7889
(303) 674-8117
Mailing address
1826 CLARK RD, BAILEY, CO 80421-1212
(303) 816-4494
(303) 816-4494
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8299
CO
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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