Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA CARMEN SMITH, ATC
Active Sole ProprietorOLIVIA CARMEN SMITH, ATC is a Sports Medicine (PM&R) healthcare provider located in GLENDORA, California. NPI 1841831864 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · GLENDORA, CA
Registration Details
- NPI Number
- 1841831864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2019 (6.9157935310462 yrs)
- Last Updated
- Oct 1, 2019
- License
-
0506532 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2439 COUNTRY CLUB DRGLENDORA, CA, 917414009Browse CA providers · Browse ZIP 91741
- Phone
- 9495257601
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.