Individual
AVATHAR SMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 BRADENTON AVE STE B, DUBLIN, OH 43017-7068
(614) 336-8733
Mailing address
1481 1/2 MICHIGAN AVE, COLUMBUS, OH 43201-2636
(419) 908-5028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016296
OH
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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