Individual
JULIE ACOSTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4655 RUFFNER ST, SAN DIEGO, CA 92111-2275
(800) 787-6787
Mailing address
17092 TASSAJARA CIR, MORGAN HILL, CA 95037-7016
(408) 221-6216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 1832
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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