Individual
SUSAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
34520 BOB WILSON DR, SUITE 100, SAN DIEGO, CA 92134-2098
(619) 532-5466
(619) 532-6908
Mailing address
3642 NEREIS DR, LA MESA, CA 91941-8013
(619) 741-7800
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 23289
CA
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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