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Dr. Jesse Stallworth Smith, DPT
Orthopedic Physical Therapist in Nesconset, New York
NPI 1902505910

Jesse Stallworth Smith is a Orthopedic Physical Therapist based in East Setauket, NY and is specialized in Orthopedic. Jesse Stallworth Smith practices in Nesconset, NY and has the professional credentials of DPT. The NPI Number for Jesse Stallworth Smith is 1902505910 and holds a License No. 048805-01 (New York).

The current practice location address for Jesse Stallworth Smith is 176 Smithtown Blvd, Nesconset, NY and can be reached out via phone at 631-979-5900.

Location: 176 Smithtown Blvd, Nesconset, NY, 11733-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902505910
Provider Name
Jesse Stallworth Smith
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
176 Smithtown Blvd, Nesconset, NY, 11733-2008
Phone Number
631-979-5900
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
176 Smithtown Blvd
City
Nesconset
State
New York
Zip
11767-1859
Phone Number
631-979-5900
Fax Number
person
Provider Business Mailing Address Details
Address
176 Smithtown Blvd
City
Nesconset
State
New York
Zip
11767-1859
Phone Number
631-979-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
048805-01 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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