Female

Ms. Laura S. Smith BS - INFANT TODDLER

Developmental Therapist in Panama City, FL(View on Map)

Full Name

Ms. Laura Suzanne Smith BS - INFANT TODDLER

NPI Number

1811055882

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/04/2006

Specialties

(Taxonomies)

Code

222Q00000X
103T00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

811601600

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2002
1201 W 22ND STREET

City

Lynn Haven
Panama City

State

FL
FL

Postal Code

32444
32405

Country

US
US

Telephone Number

(850) 819-1687
(850) 271-0804

Identifiers

Identifier

811601600

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/31/2012

Provider Address

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