Individual
JAMIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
420 BAY AVE, CLEARWATER, FL 33756-5291
(727) 445-4700
Mailing address
6262 142ND AVE N UNIT 406, CLEARWATER, FL 33760-2769
(717) 884-1423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29395
FL
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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