Individual
PAUL EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
913 11TH ST SE STE 2, BANDON, OR 97411-9168
(541) 347-4314
Mailing address
407 E MAIN ST, AUBURN, WA 98002-5504
(231) 920-7760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61251780
WA
Other
Enumeration date
09/12/2021
Last updated
02/15/2022
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