Individual
MS. MARYANE R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
14A HAZEL PLZ, UXBRIDGE, MA 01569-1107
(508) 278-5401
Mailing address
14A HAZEL PLZ, UXBRIDGE, MA 01569-1107
(508) 278-5401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1026
MA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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