Individual
MS. SUSAN NOELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
810 N COURT, GREENWOOD, MS 38930-5551
(662) 455-1313
(662) 459-7139
Mailing address
810 N COURT, GREENWOOD, MS 38930-5551
(662) 455-1313
(662) 459-7139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3801
MS
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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