Individual
MS. ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 GREY OAK LN, SOUTH DEERFIELD, MA 01373-9619
(414) 397-3590
Mailing address
PO BOX 934, NORTHAMPTON, MA 01061-0934
(413) 397-3590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
589
MA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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