NPI 1083929467

Marina Anne Smith, PTA

Practitioner Mechanotherapist Dix Hills, NY

Practice location

Address: 507 Deer Park Rd, Dix Hills, NY 11746-5207
Phone: (631) 549-4900
Mailing address: 7 Glen Hollow Dr APT B17, Holtsville, NY 11742-2446

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 000265-1 (NY)

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Registry record

NPI: 1083929467
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2010
Record last updated: 10 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.