Individual
CARLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7219 CESTRUM RD, LAS VEGAS, NV 89113-3218
(952) 393-2550
Mailing address
3106 SANTORINI CT, NAPLES, FL 34119-7709
(952) 393-2550
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
01/08/2014
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