Nicole Smith
Physical Therapist in Tampa, FL. Individual provider (NPI-1).
NPI number1083282974
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1083282974
- Entity type
- Individual (NPI-1)
- Name
- Nicole Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTT37296 | FL | Yes |
Practice location
3903 Northdale Blvd Ste 111wTampa, FL 33624-1853
Phone 813-418-7350
Mailing address
21756 State Road 54 Ste 102Lutz, FL 33549-2905
Phone 727-475-5540
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