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Individual

TERESE HIGBIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
4820 LINCOLN BLVD, MARINA DEL REY, CA 90292-6917
(310) 822-0041
(310) 822-0049
Mailing address
211 WATERVIEW ST, PLAYA DEL REY, CA 90293-8048
(310) 392-7889
(310) 314-4431

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT23906
CA

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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