Individual
KIMBERLY MAE SMEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
107 NEWFIELD AVE, APT 31, WATERBURY, CT 06708-2368
(203) 962-5551
Mailing address
107 NEWFIELD AVE, APT 31, WATERBURY, CT 06708-2368
(203) 962-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8178
CT
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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