Individual
CHRISTINA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-4588
Mailing address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-4588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
07442
OH
225200000X
Physical Therapy Assistant
Primary
23646
FL
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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