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Individual

DR. JERRY RICHARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
BARBEL PLZ, #8 NEW QUARTER, ST THOMAS, VI 00802-4600
(340) 779-4678
(340) 715-4678
Mailing address
PO BOX 302178, ST THOMAS, VI 00803-2178
(340) 779-4678
(340) 715-4678

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121
VI
225100000X
Physical Therapist
PT22484
FL

Other

Enumeration date
07/27/2006
Last updated
12/17/2009
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