Smith, Audra

Smith, Audra is an individual health care provider with primary practice located at 17904 Georgia Avenue Suite 215, Olney MD 20832. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Smith, Audra can be contacted via phone (301) 232-1050.

Contact Information

Primary practice address
17904 Georgia Avenue Suite 215 Olney MD 20832
Phone: (301) 232-1050
Fax: (301) 232-1044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20269 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 20269 Maryland

Profile Details

NPI number 1295732915
LBN Legal business name Smith, Audra
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295732915 NPPES
Maryland Other 20269 LICENCE

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