KELLEN MATTHEW SMITH

PORTSMOUTH, VA
NPI1730432261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305206466)
Enumeration Date2012-10-22
Last Update Date2012-10-22
Business Address
-- KELLEN MATTHEW SMITH DPT
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-7021
Mailing Address
-- KELLEN MATTHEW SMITH DPT
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-7021
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