MR. Earl Randall Smullen, PTA
NPI #1851730600 in Georgetown, Delaware
Provider Information
- NPI Number
- 1851730600
- Entity Type
- Individual
- Name
- MR. Earl Randall Smullen, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 14, 2013
- Last Updated
- Jun 14, 2013
Practice Location
- Address
- 12 GORDY ST
- City
- Georgetown
- State
- Delaware
- ZIP Code
- 19947-2116
- Phone
- (302) 854-6677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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