NPI 1487184123

Roberta Jean Smith, CPED

Practitioner Pedorthist Pismo Beach, CA

Practice location

Address: 801 Dolliver St, Pismo Beach, CA 93449-2503
Phone: (805) 773-5571
Fax: (805) 773-1270
Mailing address: 801 Dolliver, Pismo Beach, CA 93449

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3993 (CA)

Other Pedorthist providers in California →

Registry record

NPI: 1487184123
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.