Doctor Name: | FARRAH E SMITH |
NPI Number: | 1023025483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1146531 |
Business Practice Address: | 3824 S Carrier Pkwy Suite 470 Grand Prairie, TX - 750526644 |
Business Phone Number: | 9722629972 |
Business Fax Number: | 9722629986 |
Mailing Address: | 4304 Mulligan Ave, MANSFIELD |
State: | TX |
Postal Code: | 760633475 |
Phone Number: | 9722629972 |
Fax Number: | 9722629986 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 06/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1146531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |