Individual
MRS. TERESA RAFFAELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
116 LINGAN ST, HALIFAX, MA 02338-1352
(508) 208-6069
Mailing address
116 LINGAN ST, HALIFAX, MA 02338-1352
(508) 208-6069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4038
MA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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