Individual
MRS. REBBECCA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10350 E 7 MILE RD, LUTHER, MI 49656-8519
(231) 829-3835
Mailing address
10350 E 7 MILE RD, LUTHER, MI 49656-8519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000555
MI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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