Individual
DR. KATHRYN LAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Mailing address
1056 COPPER CREEK DR, CANTON, GA 30114-6897
(229) 567-7783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT015668
GEORGIA PROFESSIONAL LICENSING BOARD
GA
Enumeration date
11/04/2021
Last updated
11/04/2021
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