Individual
MRS. ROBIN POWE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Mailing address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2713
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124215
—
MS
Enumeration date
07/26/2006
Last updated
07/08/2007
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