Individual
CARRIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
450 LANCASTER AVE, HAVERFORD, PA 19041-1337
(484) 368-1460
Mailing address
421 MORRIS RD, APT A24, WAYNE, PA 19087-3069
(443) 223-9719
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
RT006075
PA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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