Individual
KURT C SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
41 WEST ST, APT. C-1, RANDOLPH, MA 02368-4084
(774) 360-4917
Mailing address
41 WEST ST, APT. C-1, RANDOLPH, MA 02368-4084
(774) 360-4917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8365
MA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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