Individual
MS. LATOYA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1418 S POWERLINE RD, POMPANO BEACH, FL 33069-4300
(954) 975-0771
(954) 975-0726
Mailing address
2588 NW 27TH AVE, FORT LAUDERDALE, FL 33311-2849
(954) 733-8512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21221
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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