Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36831 THINBARK ST, WAYNE, MI 48184-1138
(734) 721-2629
Mailing address
36831 THINBARK ST, WAYNE, MI 48184-1138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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