Individual
LEA DENISE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4600 BRAMBLETON AVE STE B, ROANOKE, VA 24018-3437
(540) 774-0729
Mailing address
4600 BRAMBLETON AVE STE B, ROANOKE, VA 24018-3437
(540) 774-0729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006489
VA
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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