Individual
AMANDA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
90 CROSSROAD HILL RD, CANTON, NC 28716-3703
(828) 492-0592
Mailing address
1801 OLIVE CHAPEL RD, APEX, NC 27502-8586
(919) 535-8758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12238
NC
Other
Enumeration date
05/18/2011
Last updated
03/01/2017
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