Individual
MICHAEL ZACHARIAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 REESE DR, RED OAK, TX 75154-2376
(214) 538-5005
Mailing address
1318 RYE GLEN DR, MIDLOTHIAN, TX 76065-5072
(214) 538-5005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113189
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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