Individual
MAGGIE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12261 HIGHWAY 49 STE 1, GULFPORT, MS 39503-2976
(228) 265-7185
Mailing address
15 SHADY LN, GULFPORT, MS 39507-4410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/19/2018
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