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Individual

ROBERT ALLAN SMODIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
301 21ST AVE N, NASHVILLE, TN 37203-1821
(615) 329-6600
Mailing address
608 NORRIS AVE, NASHVILLE, TN 37204-3708
(615) 695-1432

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1064
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3645419
TN
Enumeration date
11/04/2005
Last updated
08/28/2013
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