Individual
KATHLEEN ANNE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1919 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2901
(863) 688-5612
Mailing address
1450 OLD POLK CITY RD, LAKELAND, FL 33809-2381
(863) 608-1321
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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