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NPI Code Detail

MEDICARE: MRS. KERRY FIRMIN SMITH PT

MEDICARE: MRS. KERRY FIRMIN SMITH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT32156CA
2225100000XPhysical TherapistPT24625FL

General Provider Information

NPI Number : 1386821858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRY FIRMIN SMITH PT
Provider Business Mailing Address
First Line : 1518 MACKENZIE CT
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-5451
Country : US
Telephone Number : 850-571-5652
Fax Number :
Provider Business Practice Location Address
First Line : 626 N TYNDALL PKWY
Second Line :
City : CALLAWAY
State : FL
Zip : 32404-6132
Country : US
Telephone Number : 609-321-4262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 04/13/2012

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Directions to “ MRS. KERRY FIRMIN SMITH PT” Practice Location

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