Individual
MICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 824-3444
(570) 824-4021
Mailing address
1745 MURRAY ST, FORTY FORT, PA 18704-4323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001571
PA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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