Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 BRANCHVIEW DRIVE NW, APT 304, CONCORD, NC 28025
(704) 723-4705
Mailing address
240 BRANCHVIEW DRIVE NW, APT 304, CONCORD, NC 28025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5415
NC
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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