Individual
KIRSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2715
(410) 544-4220
Mailing address
11721 S LAUREL DR APT 413, LAUREL, MD 20708-3901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4108
MD
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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