Individual
VIVIAN LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 APPLEWOOD DR, ROSWELL, GA 30076-1395
(770) 594-4600
Mailing address
3446 ROCKY SPRINGS CT, MARIETTA, GA 30062-4450
(770) 365-4185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000748
GA
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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