Individual
MR. PHILLIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 UNIVERSITY BLVD S, MOBILE, AL 36609-2958
(251) 343-9600
(251) 380-3328
Mailing address
3709 VISTA RIDGE DR, MOBILE, AL 36693-2564
(251) 343-9600
(251) 380-3328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2108
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH2108
STATE LICENSE
AL
Enumeration date
05/14/2007
Last updated
07/08/2007
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