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NPI Code Detail

MEDICARE: TERESA SMITHERS

MEDICARE: TERESA SMITHERS
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
1225200000XPhysical Therapy AssistantA2470MD

General Provider Information

NPI Number : 1932443447
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA SMITHERS
Provider Business Mailing Address
First Line : 205 STONE RUN DR
Second Line :
City : RISING SUN
State : MD
Zip : 21911-2162
Country : US
Telephone Number : 410-658-2051
Fax Number :
Provider Business Practice Location Address
First Line : 1881 TELEGRAPH RD
Second Line :
City : RISING SUN
State : MD
Zip : 21911-2018
Country : US
Telephone Number : 410-658-6555
Fax Number : 410-658-9717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2012
Last Update Date : 01/29/2013

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Directions to “ TERESA SMITHERS ” Practice Location

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