| NPI | 1235290636 |
|---|---|
| Doing Business As | STACEY SMITH PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | STACEY SMITH Physical Therapist 310-458-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 22447) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-06-24 |