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Individual
MRS. LINDA SUE SMITH
Active
Individual
MRS. LINDA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3315
AZ
225100000X
Physical Therapist
Primary
3884
OR
225100000X
Physical Therapist
PT00002876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027904
—
OR
Enumeration date
12/13/2005
Last updated
10/11/2007
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