Individual
AMY ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02185
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02185
LICENSE
RI
Enumeration date
09/16/2008
Last updated
09/13/2013
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