Individual
COREY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, MTC
Contact information
Practice address
604 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6033
(315) 429-2004
Mailing address
604 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6033
(315) 429-2004
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
037330
NY
Other
Enumeration date
09/10/2010
Last updated
01/29/2014
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