Individual
REGGINALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14260 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
(623) 537-7400
Mailing address
1800 E COVINA ST APT 191, MESA, AZ 85203-7514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
AZ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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