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NPI Code Detail

MEDICARE: PATRICIA SMITHSON

MEDICARE: PATRICIA SMITHSON
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
12251G0304XGeriatric Physical Therapist1175879TX

General Provider Information

NPI Number : 1740769371
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA SMITHSON
Provider Business Mailing Address
First Line : 9801 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9801 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6760
Country : US
Telephone Number : 512-292-3071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ PATRICIA SMITHSON ” Practice Location

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