Doctor Name: | BRIAN SMITH |
NPI Number: | 1124327812 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 26259 |
Business Practice Address: | 3488 E Lake Rd Ste 302 Palm Harbor, FL - 346852404 |
Business Phone Number: | 7277861996 |
Business Fax Number: | 7277892111 |
Mailing Address: | 3488 E Lake Rd Ste 302, PALM HARBOR |
State: | FL |
Postal Code: | 346852404 |
Phone Number: | 7277861996 |
Fax Number: | 7277892111 |
NPI Enumeration Date: | 03/21/2011 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 26259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |