Individual
LISA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
157 ROUTE 137, HARWICH, MA 02645-1320
(508) 432-5760
Mailing address
401 QUEEN ANNE RD, HARWICH, MA 02645-2537
(508) 432-1065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10287
MA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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