Individual
GINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 POLK ST, WINNSBORO, LA 71295-2350
(318) 435-1550
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03396
LA
Other
Enumeration date
05/17/2007
Last updated
09/01/2011
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