MR. Brian Smith, PTA

NPI #1194135079 in Winter Garden, Florida

Provider Information

NPI Number: 1194135079
Entity Type: Individual
Name: MR. Brian Smith, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Skilled Nursing Facility
Credential: PTA
Enumeration Date: May 1, 2014
Last Updated: May 1, 2014

Practice Location

Address: 15204 W COLONIAL DR
City: Winter Garden
State: Florida
ZIP Code: 34787-6042
Phone: (407) 877-2394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X	Primary

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