Individual
QUINTEN LEWIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
6564 BARCLAY ST, MILLINGTON, TN 38053-8257
(901) 491-2337
Mailing address
6564 BARCLAY ST, MILLINGTON, TN 38053-8257
(901) 491-2337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000001996
TN
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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