RUSSELL GENE SMITH

ANDERSON, SC
NPI1841377553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  925)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Mr. RUSSELL GENE SMITH PTA
100 HEALTHY WAY # 1110
ANDERSON, SC 29621-2067
Phone number: 864-261-3099
Mailing Address
Mr. RUSSELL GENE SMITH PTA
322 SMITHFIELD DR
ANDERSON, SC 29621-3645
Phone number: 864-617-7538