| NPI | 1316461684 |
|---|---|
| Former Name | CARA MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1294076) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2021-03-23 |