Individual
MISS DIANE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2650 STOCKTON RD, SAN DIEGO, CA 92106-6000
(619) 524-0093
(619) 524-6077
Mailing address
18945 FM 2252 STE 115, SAN ANTONIO, TX 78266-2797
(210) 651-0027
(210) 651-0029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5206
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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