Individual
ANGELA LEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MSPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4962365-2401
UT
2251X0800X
Orthopedic Physical Therapist
4962365-2401
UT
Other
Enumeration date
01/17/2007
Last updated
07/23/2012
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