Individual
STEPHEN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, CSCS
Contact information
Practice address
6355 WILLOWFIELD WAY, SPRINGFIELD, VA 22150-1038
(623) 308-4573
Mailing address
1020 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4838
(850) 916-8650
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
23451
FL
2251S0007X
Sports Physical Therapist
Primary
PT872071
DC
Other
Enumeration date
08/20/2006
Last updated
09/22/2020
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