Individual
MS. BRIANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
2060 5TH AVE, SAN RAFAEL, CA 94901-1714
(415) 686-1570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10505
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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