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Organization

PROGRESSIVE PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY PARRISH SMITH PT, DPT (PHYSICAL THERAPIST/DIRECTOR)
(336) 760-4401
Entity
Organization

Contact information

Practice address
229 PLYMOUTH AVE, WINSTON SALEM, NC 27104-3025
(336) 760-4401
Mailing address
229 PLYMOUTH AVE, WINSTON SALEM, NC 27104-3025
(336) 760-4401

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8311
NC

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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