Individual
BETTINA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
7975 17 LANE, VERO BEACH, FL 32966
(772) 567-3228
Mailing address
826 26TH AVE, VERO BEACH, FL 32960-3963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA1367
PHYSICAL THERAPY ASSISTAN
FL
Enumeration date
03/28/2007
Last updated
07/08/2007
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