Violet Rachelle Smooth-bracey LPTA

NPI 1780739201 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780739201
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
711 AVIGNON DR
RIDGELAND MS, 39157-5120, US
Phone (601) 605-6777
Fax (601) 605-8869
Business Location
518 LAURELWOOD DR
FLOWOOD MS, 39232-7591, US
Phone (601) 842-0441
Fax
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA1343
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According to our database, Mrs. Violet Rachelle Smooth-bracey LPTA NPI is 1780739201, taxonomy code is 225200000X and license number is PTA1343, license state is located at Mississippi. Violet Rachelle Smooth-bracey LPTA physically located at 711 Avignon Dr, Ridgeland MS, 39157-5120. NPI Number Violet Rachelle Smooth-bracey LPTA has the Individual type.

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1780739201 NPI number is provided on an as is basis without warranty of any kind. 1780739201 is maintained by the National Plan & Provider Enumeration System. The contents of Violet Rachelle Smooth-bracey LPTA are for informational purposes only.