Doctor Name: | AUDRA SMITH |
NPI Number: | 1295732915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 20269 |
Business Practice Address: | 17904 Georgia Avenue Suite 215 Olney, MD - 20832 |
Business Phone Number: | 3012321050 |
Business Fax Number: | 3012321044 |
Mailing Address: | 17904 Georgia Avenue, Suite 215 OLNEY |
State: | MD |
Postal Code: | 20832 |
Phone Number: | 3012321050 |
Fax Number: | 3102321044 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 10/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 20269 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |