Individual
LORI L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2171 E VISTA BONITA DR, PHOENIX, AZ 85024-9504
(602) 550-2895
Mailing address
2171 E VISTA BONITA DR, PHOENIX, AZ 85024-9504
(602) 550-2895
(602) 923-6611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7816A
AZ
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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