Individual
DEREK ANTHONY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
89135, 10550 W PARK RUN DR, LAS VEGAS, NV 89144
(702) 515-6200
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3377
NV
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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