Individual
MS. DINA M. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2993 CHICA CIR, WEST MELBOURNE, FL 32904-6805
(321) 759-8380
(321) 733-0928
Mailing address
2993 CHICA CIR, WEST MELBOURNE, FL 32904-6805
(321) 759-8380
(321) 733-0928
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PT13583
FL
2251P0200X
Pediatric Physical Therapist
PT 13583
FL
2251X0800X
Orthopedic Physical Therapist
PT 13583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110946
FIRST HEALTH
FL
01
—
5470501
FIRST HEALTH
FL
05
—
811612100
—
FL
05
—
886247800
—
FL
01
—
Y9767
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
03/15/2007
Last updated
06/05/2008
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