| NPI | 1982989729 |
|---|---|
| Former Name | TONYA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013267) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501013267) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2021-09-09 |