Tasha Lynne Smith PTA

NPI 1073892394 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1073892394
Gender Female
Enumeration Date 08/04/2011
Last Updated 08/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
110 BRANDYWINE BLVD
FAYETTEVILLE GA, 30214-1500, US
Phone (770) 461-2928
Fax
Business Location
110 BRANDYWINE BLVD
FAYETTEVILLE GA, 30214-1500, US
Phone (770) 461-2928
Fax
Toxanomy
Taxonomy Code 225200000X
License State Delaware
License Number J20000289
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According to our database, Miss Tasha Lynne Smith PTA NPI is 1073892394, taxonomy code is 225200000X and license number is J20000289, license state is located at Delaware. Tasha Lynne Smith PTA physically located at 110 Brandywine Blvd, Fayetteville GA, 30214-1500. NPI Number Tasha Lynne Smith PTA has the Individual type.

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1073892394 NPI number is provided on an as is basis without warranty of any kind. 1073892394 is maintained by the National Plan & Provider Enumeration System. The contents of Tasha Lynne Smith PTA are for informational purposes only.