Individual
MRS. HEATHER C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
5401 NETHERBY LN STE 302, NORTH CHARLESTON, SC 29420-7363
(843) 225-5211
(843) 225-5513
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
018958-1
NY
225100000X
Physical Therapist
Primary
11724
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02299067
—
NY
Enumeration date
01/19/2011
Last updated
07/17/2023
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