Individual
CAROL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
187 THOMAS JOHNSON DR, SUITE 6, FREDERICK, MD 21702-4503
(301) 663-1157
(301) 663-1229
Mailing address
187 THOMAS JOHNSON DR, SUITE 6, FREDERICK, MD 21702-4503
(301) 663-1157
(301) 663-1229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00965232
MEDICARE RAILROAD
MD
Enumeration date
03/26/2007
Last updated
12/03/2011
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