TRACEY LYNN SMITH

LAKE RONKONKOMA, NY
NPI1356470751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  025842)
Enumeration Date2007-03-04
Last Update Date2007-07-08
Business Address
-- TRACEY LYNN SMITH PT
167 SMITH RD
LAKE RONKONKOMA, NY 11779-2213
Phone number: 631-348-1389
Mailing Address
-- TRACEY LYNN SMITH PT
167 SMITH RD
LAKE RONKONKOMA, NY 11779-2213
Phone number: 631-348-1389
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