Individual
AMAURI SMITH
Active
Individual
AMAURI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9423
SC
225100000X
Physical Therapist
Primary
PT013206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049767968
DRIVER LICENSE
GA
Enumeration date
06/11/2018
Last updated
03/03/2020
Update your record
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