Victoria Renera-Nisa Smith, DPT
Physical Therapist in Durham, NC. Individual provider (NPI-1).
NPI number1861690315
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1861690315
- Entity type
- Individual (NPI-1)
- Name
- Victoria Renera-Nisa Smith
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2007
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11179 | NC | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | 11179 | NC |
Other names
- Victoria Lamb (Former Name)
Practice location
Duke University Health System4020 North Roxboro St
Durham, NC 27704
Phone 919-613-1720
Mailing address
1102 Celandine DrApex, NC 27502-4164
Phone 919-208-0518
Other practice locations
1102 Celandine Dr
Apex, NC 27502-4164
Apex, NC 27502-4164
Phone 919-208-0518
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