Individual
MR. TERRY L SMITH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 W 27TH STREET, LUMBERTON, NC 28358
(910) 671-5000
Mailing address
202 ARBOR LANE, LUMBERTON, NC 28360
(910) 618-1191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2480
NC
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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