Individual
KIMBERLY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721-1932
(301) 390-3076
Mailing address
12158 CENTRAL AVE STE 113, MITCHELLVILLE, MD 20721-1932
(301) 390-3076
(301) 390-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20778
MD
225100000X
Physical Therapist
4779
SC
Other
Enumeration date
10/25/2006
Last updated
01/10/2024
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