Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
249 COLERIDGE LN, COATESVILLE, PA 19320-5953
(215) 991-7631
Mailing address
249 COLERIDGE LN, COATESVILLE, PA 19320-5953
(215) 991-7631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004479
PA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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