Individual
MRS. JUSTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1369 GRAFTON ST, WORCESTER, MA 01604-2737
(508) 373-7437
Mailing address
12 CROOKS RD, NORTH BROOKFIELD, MA 01535-2018
(508) 612-9271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15217
MA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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