Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
889 BROADWAY # 4F, BROOKLYN, NY 11206-5996
(917) 704-0608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030246
NY
Other
Enumeration date
09/24/2009
Last updated
02/14/2011
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