| NPI | 1831966480 |
|---|---|
| Former Name | SYDNIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12154) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-12-17 |