Individual
MR. THEODORE JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, CSCS
Contact information
Practice address
541 MAIN ST, STOCK SPORTS MEDICINE CLINIC, NEW LONDON, NH 03257-7818
(603) 526-3070
Mailing address
541 MAIN ST, STOCK SPORTS MEDICINE CLINIC, NEW LONDON, NH 03257-7818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0361
NH
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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