Provider Demographics
NPI:1750166252
Name:SMITH, SABRINA MARIE (DR)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CROSS COUNTRY RD APT B
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NH
Mailing Address - Zip Code:03275-3910
Mailing Address - Country:US
Mailing Address - Phone:907-414-8364
Mailing Address - Fax:
Practice Address - Street 1:9 HANNAFORD DR
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-6583
Practice Address - Country:US
Practice Address - Phone:207-815-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist