Individual
MS. ALBERTINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 MECHANIC ST, CAMDEN, ME 04843-1811
(207) 478-5630
Mailing address
39 RANDOLPH DR, BANGOR, ME 04401-2827
(207) 478-5630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225200000X
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225200000
PHYSICAL THERAPY ASSISTANT
ME
Enumeration date
02/02/2009
Last updated
10/23/2024
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