Individual
MRS. CARRIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 E BROADWAY ST, CUERO, TX 77954-2133
(361) 564-8134
Mailing address
1310 E BROADWAY ST, CUERO, TX 77954-2133
(361) 564-8134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090692
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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