Individual
COLLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11186 BELLAIRE ST APT 2, LOMA LINDA, CA 92354-3062
(831) 227-9377
Mailing address
11186 BELLAIRE ST APT 2, LOMA LINDA, CA 92354-3062
(831) 227-9377
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
12/08/2021
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