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Individual

PROF. JEFFREY W. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
101 RIVER RD, SUITE 112, JEFFERSON, LA 70121-4222
(504) 828-7696
(504) 828-8935
Mailing address
101 RIVER RD, SUITE 112, JEFFERSON, LA 70121-4222
(504) 828-7696
(504) 828-8935

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07827
LA

Other

Enumeration date
02/20/2012
Last updated
12/11/2012
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