Individual
MRS. GWEN DAVIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
204 FLORAL VALE BLVD, YARDLEY, PA 19067-5524
(215) 497-9890
(215) 497-9892
Mailing address
3131 PRINCETON PIKE, BLDG 4, SUITE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-4128
(609) 896-0962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00992800
NJ
225100000X
Physical Therapist
Primary
PT011874L
PA
Other
Enumeration date
07/26/2006
Last updated
01/08/2008
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