Individual
MS. MARINA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
507 DEER PARK RD, DIX HILLS, NY 11746-5207
(631) 549-4900
Mailing address
7 GLEN HOLLOW DR APT B17, HOLTSVILLE, NY 11742-2446
(631) 737-9502
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
000265-1
NY
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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