Individual
MRS. BRIDGETTE SAMUELS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
20800 W MAPLE RD, ELKHORN, NE 68022-5108
(901) 388-4775
Mailing address
20800 W MAPLE RD, ELKHORN, NE 68022-5108
(901) 388-4775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3647
NE
Other
Enumeration date
07/11/2007
Last updated
03/29/2017
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