Individual
PATRICIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
610 E BELLA VISTA ST, LAKELAND, FL 33805-3008
(863) 688-8591
Mailing address
610 E BELLA VISTA ST, LAKELAND, FL 33805-3008
(863) 688-8591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28996
FL
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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