Doctor Name: | MRS. DEBORAH SMITH |
NPI Number: | 1023082294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT 28927 |
Business Practice Address: | 3737 Telegraph Rd Suite A Ventura, CA - 930033464 |
Business Phone Number: | 8056424678 |
Business Fax Number: | 8056422038 |
Mailing Address: | 3737 Telegraph Rd, Suite A VENTURA |
State: | CA |
Postal Code: | 930033464 |
Phone Number: | 8056424678 |
Fax Number: | 8056422038 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT 28927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |