Individual
MS. MARTHA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
280 PINEHURST AVE STE 6, SOUTHERN PINES, NC 28387-7089
(910) 246-0370
Mailing address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4655
NC
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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