Individual
AUDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
17904 GEORGIA AVENUE, SUITE 215, OLNEY, MD 20832
(301) 232-1050
(301) 232-1044
Mailing address
17904 GEORGIA AVENUE, SUITE 215, OLNEY, MD 20832
(301) 232-1050
(310) 232-1044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20269
MD
2251X0800X
Orthopedic Physical Therapist
Primary
20269
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20269
LICENCE
MD
Enumeration date
07/07/2005
Last updated
10/07/2013
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