Individual provider · Type 1 NPI

Susan A. Smith, P.T.

Pediatric Physical Therapist · San Diego, CA

NPI number 1902854656 Active

Practice location

34520 Bob Wilson Dr, Suite 100
San Diego, CA 92134-2098

Fax (619) 532-6908

Mailing address

3642 Nereis Dr
La Mesa, CA 91941-8013

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT 23289 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1902854656

Susan A. Smith, P.T.'s National Provider Identifier is 1902854656, issued on May 5, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.