Individual
ANTHONY EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
216 GARCIA ST NE, ALBUQUERQUE, NM 87123-2604
(505) 688-2001
Mailing address
1881 PEACH RD NE, RIO RANCHO, NM 87144-5420
(505) 688-2001
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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