MAXWELL EDISON SMITH

SANTA ROSA, CA
NPI1326670456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  298135)
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
MAXWELL EDISON SMITH PT, DPT
140 WIKIUP DR
SANTA ROSA, CA 95403-7756
Phone number: 707-542-5400
Mailing Address
MAXWELL EDISON SMITH PT, DPT
2215 CREEKSIDE RD
SANTA ROSA, CA 95405-8022
Phone number: 707-477-4052