Individual
MRS. SANDRA W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
600 W LA PALMA AVE, ANAHEIM, CA 92801-2361
(714) 254-7100
(714) 254-7104
Mailing address
2412 FALLEN DR, ROWLAND HEIGHTS, CA 91748-4110
(626) 913-2385
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
PT 6036
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT 6036
CA
Other
Enumeration date
05/12/2006
Last updated
07/11/2007
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