Smith, Stacy

Smith, Stacy is an individual health care provider with primary practice located at Northeast Premier Physical Medicine, Llc 151 New Park Avenue, Ste 4, Hartford CT 06106. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Stacy can be contacted via phone (860) 232-1576.

Contact Information

Primary practice address
Northeast Premier Physical Medicine, Llc 151 New Park Avenue, Ste 4 Hartford CT 06106
Phone: (860) 232-1576
Fax: (860) 432-8669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X CT 007820 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 007820 Connecticut

Profile Details

NPI number 1902028483
LBN Legal business name Smith, Stacy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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