Crystal Irene Smith

NPI #1255661807 in Capitol Heights, Maryland

Provider Information

NPI Number: 1255661807
Entity Type: Individual
Name: Crystal Irene Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 4, 2010
Last Updated: Jan 4, 2010

Practice Location

Address: 801 CARRINGTON AVE
City: Capitol Heights
State: Maryland
ZIP Code: 20743-1846
Phone: (240) 988-4329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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