Individual
LESLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
56 NEW DRIFTWAY, SCITUATE, MA 02066-4533
(781) 544-3434
(781) 554-3946
Mailing address
535 S MAIN ST, RANDOLPH, MA 02368-5261
(781) 961-3370
(781) 767-7531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11406
PT LICENSE
MA
Enumeration date
08/26/2009
Last updated
08/26/2009
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