Individual
COLLEEN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4227 MANOR DRIVE, PLEASANT VALLEY MANOR, STROUDSBURG, PA 18360
(570) 992-4172
(570) 402-0901
Mailing address
47 DANIELS ROAD, LAKE ARIEL, PA 18436
(570) 937-3447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002888L
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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