Individual
AMIRAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6701 IRONBRIDGE PKWY, CHESTER, VA 23831-1469
(804) 318-3304
Mailing address
4533 LEE ST APT B, CHESTER, VA 23831-1749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605235
VA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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