Individual
REBECCA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 828-5763
Mailing address
19A E MARKET ST, GEORGETOWN, DE 19947-1401
(302) 841-1936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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