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Individual

MICHELLE ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
59 SHEFFIELD RD, MANCHESTER, NH 03103-2314
(603) 622-0909
(603) 622-2869
Mailing address
59 SHEFFIELD RD, MANCHESTER, NH 03103-2314
(603) 622-0909
(603) 622-2869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1324
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0805561Y0NH01
ANTHEM
NH
01
101135400
ACS
NH
01
2486344
AETNA
NH
05
30393788
NH
01
387946
MVP
NH
Enumeration date
10/24/2006
Last updated
09/22/2011
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