Individual
RACHEL ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3050 BROWN AVE, MOUNT DORA, FL 32757-3453
(352) 383-2208
Mailing address
3050 BROWN AVE, MOUNT DORA, FL 32757-3453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22137
FL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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