Organization
SMITH RANCH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTE SMITH MS., CCC-SLP (CEO)
(480) 528-9435
Entity
Organization
Contact information
Practice address
5311 E HOPI AVE, MESA, AZ 85206-5528
(480) 528-9435
(480) 307-9143
Mailing address
5311 E HOPI AVE, MESA, AZ 85206-5528
(480) 528-9435
(480) 307-9143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
AZ
225X00000X
Occupational Therapist
—
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP5975
AZ
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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