MS. Ruby Diane Smith, PTA

NPI #1720200397 in Mililani, Hawaii

Provider Information

NPI Number: 1720200397
Entity Type: Individual
Name: MS. Ruby Diane Smith, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 3, 2007
Last Updated: Jan 16, 2008

Practice Location

Address: 95-1011 PUUKOA ST
City: Mililani
State: Hawaii
ZIP Code: 96789-6505
Phone: (863) 409-5465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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