Individual
MRS. TAMMY WILLIAMS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
820 S BOYLAN AVE, RALEIGH, NC 27603-2176
(919) 733-5576
(919) 733-7365
Mailing address
8723 BELFORD VALLEY LANE, RALEIGH, NC 27615
(919) 846-7857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1755
NC
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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