Individual
ROBERT THOMAS SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-3185
(407) 694-3603
Mailing address
700 N COURTENAY PKWY APT 230, MERRITT ISLAND, FL 32953-4696
(321) 591-8240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30489
FL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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