Individual
GALE T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
905 ARROWHEAD TRL, WARNER ROBINS, GA 31088-5390
(478) 333-6363
Mailing address
108 GARDENIA WAY, BONAIRE, GA 31005-3547
(938) 283-3186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO12965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3286
LICENSE NUMBER
NC
05
—
7211935
—
NC
Enumeration date
09/20/2006
Last updated
01/31/2022
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