Individual
SHELBY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-2146
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004365
MI
Other
Enumeration date
03/25/2021
Last updated
03/29/2021
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