| NPI | 1548773500 |
|---|---|
| Former Name | CHRISTINA MARIE SMITHSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015246) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-04-22 |