Individual
MS. DEBARA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11833 TRAIL SKY CT, PARKER, CO 80134-3039
(951) 440-5206
Mailing address
11833 TRAIL SKY CT, PARKER, CO 80134-3039
(951) 440-5206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.015271
CO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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