Individual
NICHOLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2083 ELIZONDO AVE, SIMI VALLEY, CA 93065-4613
(805) 587-1734
Mailing address
2083 ELIZONDO AVE, SIMI VALLEY, CA 93065-4613
(805) 587-1734
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291285
CA
Other
Enumeration date
01/06/2016
Last updated
03/23/2016
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