Individual
STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
NORTHEAST PREMIER PHYSICAL MEDICINE, LLC, 151 NEW PARK AVENUE, STE 4, HARTFORD, CT 06106
(860) 232-1576
(860) 432-8669
Mailing address
NORTHEAST PREMIER PHYSICAL MEDICINE, LLC, PO BOX 1153, ENFIELD, CT 06083-1153
(860) 232-1576
(860) 432-8669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007820
CT
225100000X
Physical Therapist
CT 007820
CT
Other
Enumeration date
05/03/2007
Last updated
07/26/2022
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