Phonso Smith
NPI #1366824864 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1366824864
- Entity Type
- Individual
- Name
- Phonso Smith
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 22, 2015
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 1300 S GREEN BAY RD
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4469
- Phone
- (262) 898-3930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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