Individual
MARLA E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
114 NEW ST, SUITE I - 2, DECATUR, GA 30030-4132
(770) 846-8755
(404) 253-7975
Mailing address
1624 BRIARCLIFF RD NE, # 6, ATLANTA, GA 30306-2110
(770) 846-8755
(404) 253-7975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006679
GA
Other
Enumeration date
12/08/2006
Last updated
07/09/2007
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