Individual
MS. CHRISTINE LE JACQ-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8 AIMES WAY, WESTPORT, MA 02790-1260
(508) 636-9165
Mailing address
8 AIMES WAY, WESTPORT, MA 02790-1260
(508) 636-9165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6652
MA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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