Individual
MISS BARBARA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
(770) 460-0165
Mailing address
1806 PORTWEST WAY, HAMPTON, GA 30228-3272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001417
GA
2251P0200X
Pediatric Physical Therapist
PT001417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000826636B
—
GA
Enumeration date
03/15/2007
Last updated
03/24/2021
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