Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8481 HOLLY RD, GRAND BLANC, MI 48439
(810) 694-1711
Mailing address
4444 ROBINDALE DR, BURTON, MI 48519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003775
MI
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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