Individual
TERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
Mailing address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004975
KY
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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