Individual
RICHARD CARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7485 WESTBRANCH HWY, LEWISBURG, PA 17837-6812
(570) 768-4615
Mailing address
367 RESERVOIR RD, HUGHESVILLE, PA 17737-8803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000837
PA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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