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Individual

SUSAN G SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
35 JOLLEY DR, SUITE 101, BLOOMFIELD, CT 06002-3062
(860) 243-3434
(860) 243-0208
Mailing address
35 JOLLEY DR, SUITE 101, BLOOMFIELD, CT 06002-3062
(860) 243-3434
(860) 243-0208

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004312
CT

Other

Enumeration date
09/20/2006
Last updated
10/01/2009
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