Individual
MRS. ANNE L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
196 VINING CT, ORMOND BEACH, FL 32176-6658
(386) 212-3696
Mailing address
196 VINING CT, ORMOND BEACH, FL 32176-6658
(386) 212-3696
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA22011
FL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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