Johnelle R Smith
Physical Medicine & Rehabilitation Doctor
1180 Beacon St Ste 3c
Brookline
, Massachusetts 02446-3806
Johnelle R Smith
Physical Medicine & Rehabilitation Doctor
1180 Beacon St Ste 3c
Brookline
, Massachusetts 02446-3806
(617) 879-0933
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Johnelle R Smith
- 1180 Beacon St Ste 3c
- Brookline, MA
- Zip : 02446-3806
- Fax : (617) 879-0933
- Phone : (617) 202-9222
Second Address
- Johnelle R Smith
- 1180 Beacon St Ste 3c
- Brookline, MA
- Zip : 02446-3806
- Fax : (617) 879-0933
- Phone : (617) 202-9222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301078591 | MI |
National Provider Identifier
| NPI | 1023314143 |
|---|---|
| Provider Name | Johnelle R Smith |
| First Address | Brookline, MA 02446-3806 |
| Second Address | Brookline, MA 02446-3806 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2011 |
| Last Update Date | 11/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.