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1023557501
KELLY SMITH
WATERBURY, CT
NPI
1023557501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 5603)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- KELLY SMITH
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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Mailing Address
-- KELLY SMITH
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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