Individual
CARLEY JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
489 STATE RD, WEST TISBURY, MA 02575-5497
(508) 693-3800
Mailing address
429 WOODARDS FORD RD, CHESAPEAKE, VA 23322-4308
(757) 559-3690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216404
VA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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