Individual
ABBY GRETCHEN SMITH
Active
Individual
ABBY GRETCHEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205530
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609031160
—
VA
01
—
P00630294
RAILROAD MEDICARE
VA
Enumeration date
07/24/2008
Last updated
07/08/2024
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