Doctor Name: | VIVIAN ANN LANE SMITH |
NPI Number: | 1134389091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT005277 |
Business Practice Address: | 908 Pavilion Ct Mcdonough, GA - 302536665 |
Business Phone Number: | 7706037050 |
Business Fax Number: | |
Mailing Address: | 352 Clover Brook Dr, LOCUST GROVE |
State: | GA |
Postal Code: | 302487207 |
Phone Number: | 4783351953 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 07/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |