Individual
MS. REBECCA Z SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 446-9960
Mailing address
PO BOX 513, ESSEX, CT 06426-0513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000812
CT
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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