Individual
ELIZABETH D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2670 MCINGVALE RD STE J, HERNANDO, MS 38632-8696
(901) 641-3000
(901) 701-2428
Mailing address
2670 MCINGVALE RD STE J, HERNANDO, MS 38632-8696
(901) 641-3000
(901) 701-2428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6652
MS
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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