Individual
ANDREA LYNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
124 LINDA AVE, DELRAN, NJ 08075-2110
(609) 410-3804
Mailing address
124 LINDA AVE, DELRAN, NJ 08075-2110
(609) 410-3804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA00617300
NJ
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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