Individual
MS. LORI ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 OLD WASHINGTON RD, WALDORF, MD 20602-3221
(301) 645-2813
(301) 645-9317
Mailing address
4140 OLD WASHINGTON ROAD, WALDORF, MD 20503
(301) 645-2813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4499
MD
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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