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Individual

JEFFREY LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
40 LORDVALE BLVD, NORTH GRAFTON, MA 01536-1124
(508) 839-5247
Mailing address
40 LORDVALE BLVD, NORTH GRAFTON, MA 01536-1124
(508) 839-5247

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9388
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0301582
MEDCAID
MA
Enumeration date
05/11/2008
Last updated
05/11/2008
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