Individual
MADISON ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
25101 N LAKE PLEASANT PKWY, PEORIA, AZ 85383-1386
(623) 471-5550
Mailing address
313 PADDOCK DR, GREER, SC 29650-3847
(864) 350-2129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP032994T
AZ
Other
Enumeration date
12/09/2020
Last updated
10/15/2024
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