Individual
EMILY ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 RIVER ST, HACKENSACK, NJ 07601-7514
(201) 820-3730
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01901400
NJ
Other
Enumeration date
11/05/2019
Last updated
11/22/2019
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