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Individual
MRS. STACY H SMITH
Active
Individual
MRS. STACY H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023078490
—
VA
Enumeration date
03/28/2006
Last updated
02/04/2026
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