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Individual

JOSHUA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Mailing address
3465 BOX HLL CORP CTR DR, SUITE G, ABINGDON, MD 21009-1261
(410) 569-4806
(410) 569-5474

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
PTO019801
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200619466
IBC,AMERIHEALTH
Enumeration date
06/09/2009
Last updated
06/09/2009
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