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Individual
TRACY A SMITH
Active
Individual
TRACY A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
2137231
TX
225200000X
Physical Therapy Assistant
Primary
2137231
TX
225200000X
Physical Therapy Assistant
2643
SC
Other
Enumeration date
02/14/2013
Last updated
10/28/2020
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