Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4726 SANTA MONICA AVE, SAN DIEGO, CA 92107-2209
(737) 802-5103
Mailing address
5439 MOUNTAIN VISTA DR, SAN ANTONIO, TX 78247-4640
(173) 780-2510
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
85271
NY
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
05/07/2024
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