person
Ms. Roberta Jean Smith, CPED
Pedorthist in Pismo Beach, California
NPI 1487184123

Roberta Jean Smith is a Pedorthist based in Pismo Beach, CA. Roberta Jean Smith practices in Pismo Beach, CA and has the professional credentials of CPED. The NPI Number for Roberta Jean Smith is 1487184123 and holds a License No. CPED3993 (California).

The current practice location address for Roberta Jean Smith is 801 Dolliver St, Pismo Beach, CA and can be reached out via phone at 805-773-5571 and via fax at 805-773-1270.

Location: 801 Dolliver St, Pismo Beach, CA, 93449
person
Provider Profile Details
NPI Number
1487184123
Provider Name
Roberta Jean Smith
Credential
CPED
Provider Entity Type
Individual
Gender
Female
Address
801 Dolliver St, Pismo Beach, CA, 93449
Phone Number
805-773-5571
Fax Number
805-773-1270
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 Dolliver St
City
State
Zip
93449-2503
Phone Number
805-773-5571
Fax Number
805-773-1270
person
Provider Business Mailing Address Details
Address
801 Dolliver St
City
State
Zip
93449-2503
Phone Number
805-773-5571
Fax Number
805-773-1270
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
License No.
CPED3993 (California)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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