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Individual

ANTHONY EDWARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
6783
NC
225200000X
Physical Therapy Assistant
Primary
A-0867
NM

Other

Enumeration date
05/22/2012
Last updated
12/27/2018
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