Eral M Smith-buah PTA

NPI 1285991513 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1285991513
Gender Female
Enumeration Date 04/11/2012
Last Updated 04/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
11506 NICHOLAS ST
110
OMAHA NE, 68154-4407, US
Phone (402) 612-0334
Fax
Business Location
15607 DORSET RD
301
LAUREL MD, 20707-5339, US
Phone (240) 463-7290
Fax
Toxanomy
Taxonomy Code 225200000X
License State Maryland
License Number A3750
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According to our database, Eral M Smith-buah PTA NPI is 1285991513, taxonomy code is 225200000X and license number is A3750, license state is located at Maryland. Eral M Smith-buah PTA physically located at 11506 Nicholas St, Omaha NE, 68154-4407. NPI Number Eral M Smith-buah PTA has the Individual type.

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1285991513 NPI number is provided on an as is basis without warranty of any kind. 1285991513 is maintained by the National Plan & Provider Enumeration System. The contents of Eral M Smith-buah PTA are for informational purposes only.