Individual
DEE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
2915 DAVE WARD DR, SUITE 8, CONWAY, AR 72034-9310
(501) 329-5459
(501) 327-1738
Mailing address
19 HICKORY HILL RD, CONWAY, AR 72032-7606
(501) 329-3822
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2187
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139817742
—
AR
Enumeration date
01/06/2007
Last updated
07/08/2007
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