Individual
KERRISA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
258 HARVARD ST, # 476, BROOKLINE, MA 02446-2904
(518) 461-6925
Mailing address
258 HARVARD ST, # 476, BROOKLINE, MA 02446-2904
(518) 461-6925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17100
MA
225100000X
Physical Therapist
62 026805
NY
225100000X
Physical Therapist
PT60041775
WA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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