| NPI | 1861799207 |
|---|---|
| Former Name | LUCY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 5217) |
| 225100000X Physical Therapist (Licence: TN 8883) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2022-09-19 |