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Individual

MS. KATRINA LARKIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 621-3666
Mailing address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 621-3666

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3730
ME

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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