Provider Demographics
NPI:1376736207
Name:STITT, SMARAGTHE BARBARA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:SMARAGTHE
Middle Name:BARBARA
Last Name:STITT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:MARGO
Other - Middle Name:BARBARA
Other - Last Name:STITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:10 BIRD HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6105
Mailing Address - Country:US
Mailing Address - Phone:781-439-8852
Mailing Address - Fax:781-862-4787
Practice Address - Street 1:164R MAIN STREET
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2695
Practice Address - Country:US
Practice Address - Phone:781-439-8852
Practice Address - Fax:781-862-4787
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5557225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist