Individual
MRS. RAEMA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 DALE KUNI RD, CRESWELL, OR 97426-9874
(541) 895-2216
Mailing address
34820 HIGHWAY 58, EUGENE, OR 97405-9629
(541) 744-9657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1764
OR
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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