Individual
SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
163 NORTHPORT AVE, BELFAST, ME 04915-6192
(207) 505-4584
Mailing address
163 NORTHPORT AVE, BELFAST, ME 04915-6192
(207) 505-4584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3960
ME
2255A2300X
Athletic Trainer
AT476
ME
Other
Enumeration date
11/04/2015
Last updated
03/06/2019
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