Individual
MR. ROGER WARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3550 CHURN CREEK RD, REDDING, CA 96002-2718
(530) 262-3630
Mailing address
3550 CHURN CREEK RD, REDDING, CA 96002-2718
(530) 262-3630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4754
CA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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