Individual
MR. NEIL ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 EMILY WAY, WEST HARTFORD, CT 06107-3136
(860) 561-7022
Mailing address
1 EMILY WAY, WEST HARTFORD, CT 06107-3136
(860) 561-7022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001112
CT
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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