Individual
DR. CAROL JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4120 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5308
(817) 741-7585
(817) 741-7587
Mailing address
4120 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5308
(817) 741-7585
(817) 741-7587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1193873
TX
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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