Individual
MRS. PROVIDENCIA ACABEO-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
704 PROFESSIONAL PARK DR, SUITE B, SUMMERSVILLE, WV 26651-2000
(304) 872-0490
(304) 872-0492
Mailing address
704 PROFESSIONAL PARK DR, SUITE B, SUMMERSVILLE, WV 26651-2000
(304) 872-0490
(304) 872-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001172
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157391000
—
WV
Enumeration date
02/21/2007
Last updated
07/29/2008
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