Individual
MARIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
280D ROUTE 130 STE 7, FORESTDALE, MA 02644-1140
(508) 833-1060
Mailing address
280D ROUTE 130 STE 7, FORESTDALE, MA 02644-1140
(508) 833-1060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24247
MA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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