Individual
SHANNON MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 817-5220
(716) 633-9351
Mailing address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 817-5220
(716) 633-9351
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
033939
NY
Other
Enumeration date
07/07/2011
Last updated
02/12/2013
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