Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-2544
Mailing address
24 HOSPITAL LN, CALAIS, ME 04619-1329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3563
ME
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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