Individual
CORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1897 ISLAND WALK WAY, UNIT 5, FERNANDINA BEACH, FL 32034-1948
(904) 261-4664
(904) 261-5852
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 802-1991
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29757
FL
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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