Individual
LIZZ VANWILGEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1133 BROADWAY STE 1211, NEW YORK, NY 10010-7963
(917) 912-3980
Mailing address
146 PIERREPONT ST APT 8C, BROOKLYN, NY 11201-2840
(917) 912-3980
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
014141-0
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2017
Last updated
10/17/2022
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