Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 CRANDALL WAY, SPARTANBURG, SC 29301-5372
(864) 706-7248
Mailing address
334 CRANDALL WAY, SPARTANBURG, SC 29301-5372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6544
NC
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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