Individual
KENDRA L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3920 W PARK AVE, ORANGE, TX 77630-1756
(409) 920-4105
Mailing address
2909 N 118TH ST STE 200, OMAHA, NE 68164-3643
(402) 509-5532
(402) 625-0417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097891
TX
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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