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1326670456
MAXWELL EDISON SMITH
SANTA ROSA, CA
NPI
1326670456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298135)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
MAXWELL EDISON SMITH PT, DPT
140 WIKIUP DR
SANTA ROSA, CA 95403-7756
Phone number: 707-542-5400
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Mailing Address
MAXWELL EDISON SMITH PT, DPT
2215 CREEKSIDE RD
SANTA ROSA, CA 95405-8022
Phone number: 707-477-4052
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