Individual
MRS. JESSIE C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 PRIMACY PKWY, MEMPHIS, TN 38119-5763
(901) 767-1040
Mailing address
5483 LA STRADA STREET, MEMPHIS, TN 38116
(901) 345-8556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA266
TN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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