Cassie Ly Smith

NPI #1972177418 in Ponchatoula, Louisiana

Provider Information

NPI Number: 1972177418
Entity Type: Individual
Name: Cassie Ly Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 19, 2021
Last Updated: May 19, 2021

Practice Location

Address: 1560 US-51
City: Ponchatoula
State: Louisiana
ZIP Code: 70454
Phone: (985) 229-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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