Individual
CELINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1211 HAWAII AVE, ALAMOGORDO, NM 88310-6437
(575) 821-5994
Mailing address
PO BOX 1925, RUIDOSO, NM 88355-1925
(575) 642-3456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0508
NM
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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