Individual
GENEVIEVE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1301 N HIGHLANDS PKWY, TACOMA, WA 98406-2116
(253) 752-7112
Mailing address
13778 NW COHO RUN, BREMERTON, WA 98312-8542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160837557
WA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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