Individual
JOHNNY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
23077 GREENFIELD RD, STE 250, SOUTHFIELD, MI 48075-3709
(248) 557-7336
(248) 557-4544
Mailing address
23077 GREENFIELD RD, STE 250, SOUTHFIELD, MI 48075-3709
(248) 557-7336
(248) 557-4544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001786
MI
Other
Enumeration date
11/07/2006
Last updated
07/21/2010
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