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Elena M Smith, PTA

Physical Therapy Assistant in Bloomfield, NJ. Individual provider (NPI-1).

NPI number1750657367
StatusActive
Last updated in NPPESMar 28, 2012

Details

NPI
1750657367
Entity type
Individual (NPI-1)
Name
Ms. Elena M Smith
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2012
Last updated
Mar 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant40QB00262100NJYes

Practice location

250 Bloomfield Ave
Bloomfield, NJ 07003-5689

Phone 973-743-2461

Mailing address

10 Wells Ct
Bloomfield, NJ 07003-3042

Phone 973-338-0623

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