Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 PULASKI HWY STE B, NORTH EAST, MD 21901-2610
(410) 339-1960
(443) 941-9441
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28369
MD
225100000X
Physical Therapist
J1-0004025
DE
Other
Enumeration date
01/18/2019
Last updated
12/30/2024
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