Individual
CARLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4154 MADISON AVE, TRUMBULL, CT 06611-3563
(203) 372-5718
Mailing address
16 E GATE LN, HAMDEN, CT 06514-2229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9594
CT
225100000X
Physical Therapist
PT.015210
OH
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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