Individual
MRS. DIANE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Mailing address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1227
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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