Individual
ULANDA EYVETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5411 I 55 N, JACKSON, MS 39206-3616
(769) 216-3288
(601) 510-9012
Mailing address
5411 I 55 N, JACKSON, MS 39206-3616
(769) 216-3288
(601) 510-9012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4602
MS
Other
Enumeration date
06/24/2017
Last updated
07/21/2022
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