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1811644057
SHIZUKA SMITH
HAMPTON, VA
NPI
1811644057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 2391)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
SHIZUKA SMITH PTA
77 NEALY AVE
HAMPTON, VA 23665-2040
Phone number: 757-764-6963
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Mailing Address
SHIZUKA SMITH PTA
112 BLACKBERRY BND
YORKTOWN, VA 23693-4538
Phone number: 757-764-6963
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