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Individual
JUDITH ELLEN SMERILSON
Active
Individual
JUDITH ELLEN SMERILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT20436
FL
225100000X
Physical Therapist
Primary
PT20436
FL
225100000X
Physical Therapist
PT7732
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015408900
—
FL
05
—
016133700
—
FL
Enumeration date
11/12/2007
Last updated
12/03/2015
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