NPI | 1942858543 |
---|---|
Former Name | CYDNEY T. SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216315) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27626) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2024-03-08 |