Individual
ROARKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15720 BERNARDO CENTER DR, SAN DIEGO, CA 92127-5861
(619) 246-8832
Mailing address
15720 BERNARDO CENTER DR, SAN DIEGO, CA 92127-5861
(619) 246-8832
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10517
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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