Individual
MR. NOBLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
781 SW 119TH WAY, DAVIE, FL 33325-3823
(954) 479-4467
Mailing address
781 SW 119TH WAY, DAVIE, FL 33325-3823
(954) 479-4467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23753
FL
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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