Individual
CARRIE COLLEEN PETERS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
57 N 9TH AVE, D6, MOUNT VERNON, NY 10550-1903
(914) 663-2991
Mailing address
57 N 9TH AVE, D6, MOUNT VERNON, NY 10550-1903
(914) 663-2991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5545-1
NY
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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