Terylyn Denise Smith L.P.T.

NPI 1063697878 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1063697878
Gender Female
Enumeration Date 12/31/2007
Last Updated 03/11/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
13800 HEACOCK ST
STE. C236
MORENO VALLEY CA, 92553-3339, US
Phone (951) 653-0819
Fax (951) 656-2614
Business Location
13800 HEACOCK ST
STE. C236
MORENO VALLEY CA, 92553-3339, US
Phone (951) 653-0819
Fax (951) 465-3203
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Mrs. Terylyn Denise Smith L.P.T. NPI is 1063697878, taxonomy code is 225400000X Terylyn Denise Smith L.P.T. physically located at 13800 Heacock St, Moreno Valley CA, 92553-3339. NPI Number Terylyn Denise Smith L.P.T. has the Individual type.

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1063697878 NPI number is provided on an as is basis without warranty of any kind. 1063697878 is maintained by the National Plan & Provider Enumeration System. The contents of Terylyn Denise Smith L.P.T. are for informational purposes only.