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Individual

DEMARKIS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1015 S VAL VISTA DR, UNIT 11, MESA, AZ 85204-5673
(810) 577-5066
Mailing address
1015 S VAL VISTA DR, UNIT 11, MESA, AZ 85204-5673
(810) 577-5066

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11818
AZ

Other

Enumeration date
09/29/2015
Last updated
07/12/2016
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