Individual
SUSAN SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 CHURCH ST, 3RD FLOOR, PHILADELPHIA, PA 19106-4518
(800) 974-6383
(800) 974-4241
Mailing address
215 CHURCH ST, 3RD FLOOR, PHILADELPHIA, PA 19106-4518
(800) 974-6383
(800) 974-4241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002144
PA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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