Individual
ALISON E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
119 MIKE THORNTON CT, WEATHERFORD, TX 76088
(254) 366-7625
Mailing address
119 MIKE THORNTON CT, WEATHERFORD, TX 76088-1123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104573
TX
225200000X
Physical Therapy Assistant
2104573
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104573
PTA LICENSE
TX
Enumeration date
11/06/2019
Last updated
11/06/2019
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